pbp_a_hnumber	pbp_a_plan_identifier	segment_id	pbp_a_ben_cov	pbp_a_plan_type	orgtype	bid_id	version	pbp_c_pos_outpt_group_num_id	pbp_c_pos_outpt_bendesc_cats	pbp_c_pos_group_lbl	pbp_c_pos_outpt_coins_yn	pbp_c_pos_outpt_coins_min_pct	pbp_c_pos_outpt_coins_max_pct	pbp_c_pos_outpt_coins_cov	pbp_c_pos_outpt_copay_yn	pbp_c_pos_outpt_copay_min_amt	pbp_c_pos_outpt_copay_max_amt	pbp_c_pos_outpt_maxplan_yn	pbp_c_pos_outpt_maxplan_amt	pbp_c_pos_outpt_deduct_yn	pbp_c_pos_outpt_deduct_amt	pbp_c_pos_outpt_maxplan_per	pbp_c_pos_outpt_maxplan_cov
H0307	009	0	1	02	01	H0307_009_0	7	1	0000000000000000010000000000000000000000000000		1	15	15	6	2			2		2			
H0307	010	0	1	02	01	H0307_010_0	7	1	0000000000000000010000000000000000000000000000		2				1	30.00	175.00	2		2			
H0401	002	0	1	02	01	H0401_002_0	4	4	0000000000000000000000000010000010000000000000	Group 4	2				1	0.00	0.00	2		2			
H0401	002	0	1	02	01	H0401_002_0	4	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H0401	002	0	1	02	01	H0401_002_0	4	1	0100111101101000000010000000000001000000001101	Group 1	2				1	25.00	35.00	2		2			
H0401	002	0	1	02	01	H0401_002_0	4	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H0401	002	0	1	02	01	H0401_002_0	4	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H0401	002	0	1	02	01	H0401_002_0	4	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H0401	002	0	1	02	01	H0401_002_0	4	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H0401	002	0	1	02	01	H0401_002_0	4	6	0000000000000111000000000000000000000000000000	Group 6	1	30	30	6	1	7.00	7.00	2		2			
H0401	004	0	1	02	01	H0401_004_0	4	2	0000100000000000000000000000000000000000000000	Group 2	1	20	30	6	2			2		2			
H0401	004	0	1	02	01	H0401_004_0	4	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H0401	004	0	1	02	01	H0401_004_0	4	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H0401	005	0	1	02	01	H0401_005_0	3	1	0111011111111111111111111110100111111111100101	Group 1	1	30	30	6	2			2		2			
H0401	005	0	1	02	01	H0401_005_0	3	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	25.00	2		2			
H0401	005	0	1	02	01	H0401_005_0	3	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H0408	001	0	1	02	01	H0408_001_0	5	2	0000100000000000000000000000000000000000000000	Group 2	1	20	30	6	2			2		2			
H0408	001	0	1	02	01	H0408_001_0	5	1	0111011111111111111111111110100111111111101101	Group 1	1	30	30	6	2			2		2			
H0408	001	0	1	02	01	H0408_001_0	5	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H0408	002	0	1	02	01	H0408_002_0	5	2	0000100000000000000000000000000000000000000000	Group 2	1	20	30	6	2			2		2			
H0408	002	0	1	02	01	H0408_002_0	5	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H0408	002	0	1	02	01	H0408_002_0	5	1	0111011111111111111111111110100111111111101101	Group 1	1	30	30	6	2			2		2			
H0410	001	0	1	37	05	H0410_001_0	4	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H0410	001	0	1	37	05	H0410_001_0	4	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H0410	001	0	1	37	05	H0410_001_0	4	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H0410	002	0	1	37	05	H0410_002_0	2	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H0410	002	0	1	37	05	H0410_002_0	2	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H0410	002	0	1	37	05	H0410_002_0	2	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H0410	003	0	1	37	05	H0410_003_0	3	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H0410	003	0	1	37	05	H0410_003_0	3	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H0410	003	0	1	37	05	H0410_003_0	3	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H0410	004	0	1	37	05	H0410_004_0	4	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H0410	004	0	1	37	05	H0410_004_0	4	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H0410	004	0	1	37	05	H0410_004_0	4	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H0427	001	0	1	02	01	H0427_001_0	7	3	0011000000000110011010000110000110111111101000	Preventive and misc.	2				2			2		2			
H0427	001	0	1	02	01	H0427_001_0	7	4	0000000000000000000000011000000000000000000000	Durable medical equipment and prosthetic	1	0	20	2	2			2		2			
H0427	001	0	1	02	01	H0427_001_0	7	2	0000000000000000000001000000000000000000000000	Emergence care and ambulance	2				1	50.00	50.00	2		2			
H0427	001	0	1	02	01	H0427_001_0	7	1	0100111111111000000100000000000001000000000101	Physician Office visits	2				1	15.00	15.00	2		2			
H0427	002	0	1	02	01	H0427_002_0	7	1	0100111111111000000100000000000001000000000101	Physician office visits	2				1	20.00	20.00	2		2			
H0427	002	0	1	02	01	H0427_002_0	7	3	0001000000000111000010000110000110111111100000	Preventive and Misc.	2				2			2		2			
H0427	002	0	1	02	01	H0427_002_0	7	4	0000000000000000000000011000000000000000000000	Durable Medical Equipment	1	0	20	2	2			2		2			
H0427	002	0	1	02	01	H0427_002_0	7	5	0000000000000000001000000000000000000000000000	Outpatient Surgery	2				1	200.00	200.00	2		2			
H0427	002	0	1	02	01	H0427_002_0	7	2	0000000000000000000001000000000000000000000000	Emergency Care and Ambulance	2				1	50.00	50.00	2		2			
H0712	001	0	1	02	01	H0712_001_0	8	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H0712	011	0	1	02	01	H0712_011_0	8	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H0712	018	0	1	02	01	H0712_018_0	8	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H0712	801	0	1	02	01	H0712_801_0	4	1	0111011111111111111111011110000010111111101111	Group Type 1	1	0	100	6	2			2		2			
H0712	802	0	1	02	01	H0712_802_0	4	1	0111011111111111111111011110000010111111101111	Group Type 1	1	0	100	6	2			2		2			
H0712	803	0	1	02	01	H0712_803_0	4	1	0111011111111111111111011110000010111111101111	Group Type 1	1	0	100	6	2			2		2			
H0712	804	0	1	02	01	H0712_804_0	4	1	0111011111111111111111011110000010111111101111	Group Type 1	1	0	100	6	2			2		2			
H0755	020	0	1	02	01	H0755_020_0	5	1	0000010001001101111010010100000000000000000000	Group 1 -  20%	1	20	20	2	2			2		2			
H0755	020	0	1	02	01	H0755_020_0	5	2	0000100100000000000000000000000001000000001101	Group 2 - $45	2				1	45.00	45.00	2		2			
H0755	020	0	1	02	01	H0755_020_0	5	3	0000000000000000000001000000000000000000000000	Group 3 - $75	2				1	75.00	75.00	2		2			
H0755	020	0	1	02	01	H0755_020_0	5	4	0000000000000000000000000100000010111111100000	Group 4 - $0	2				2			2		2			
H0806	001	0	1	02	01	H0806_001_0	5	1	0101101101101111111010011110000011111111101111		1	20	20	2	2			2		2			
H0806	001	0	1	02	01	H0806_001_0	5	2	0000000000000000000001000000000000000000000000	Ambulance	2				1	50.00	50.00	2		2			
H0806	001	0	1	02	01	H0806_001_0	5	3	0000000000000000000000000000000000000000011000	Dental	1	0	50	2	2			1	1000.00	1	50.00	3	2
H0806	001	0	1	02	01	H0806_001_0	5	4	0000000000000000000000000000000000000000000010	Eye Wear	2				2			1	100.00	2		3	2
H0806	002	0	1	02	01	H0806_002_0	5	4	0000000000000000000000000000000000000000000010	Eye Wear	2				2			1	100.00	2		3	6
H0806	002	0	1	02	01	H0806_002_0	5	1	0101101101101111111010011110000011111111101111		1	30	30	2	2			2		2			
H0806	002	0	1	02	01	H0806_002_0	5	2	0000000000000000000001000000000000000000000000	Ambulance	2				1	100.00	100.00	2		2			
H0806	002	0	1	02	01	H0806_002_0	5	3	0000000000000000000000000000000000000000011000	Dental	1	0	50	2	2			1	1000.00	1	50.00	3	2
H0806	003	0	1	02	01	H0806_003_0	5	2	0000000000000000000001000000000000000000000000	Ambulance	2				1	150.00	150.00	2		2			
H0806	003	0	1	02	01	H0806_003_0	5	4	0000000000000000000000000000000000000000000010	Non-Medicare Covered/Routine Eye Wear	2				2			1	100.00	2		3	6
H0806	003	0	1	02	01	H0806_003_0	5	3	0000000000000000000000000000000000000000011000	Dental	1	0	50	2	2			1	1000.00	1	50.00	3	2
H0806	003	0	1	02	01	H0806_003_0	5	1	0101101101101111111010011110000011111111100101		1	30	30	2	2			2		2			
H0806	801	0	1	02	01	H0806_801_0	2	3	0000000000000100000000000000000000000000000000	Lab Services	2				2			2		2			
H0806	801	0	1	02	01	H0806_801_0	2	6	0000000000000000000000000000000000010000000000	PSA Test	2				2			2		2			
H0806	801	0	1	02	01	H0806_801_0	2	1	0100101101101011111011001110000001001111101111		1	20	20	2	2			2		2			
H0806	801	0	1	02	01	H0806_801_0	2	2	0001000000000000000000000000000000000000000000	Home Health Services	2				2			2		2			
H0806	801	0	1	02	01	H0806_801_0	2	4	0000000000000000000000000000000010000000000000	Flu and Pheumonia Vaccines	2				2			2		2			
H0806	801	0	1	02	01	H0806_801_0	2	5	0000000000000000000000000000000000100000000000	Pap Smear	2				2			2		2			
H0806	802	0	1	02	01	H0806_802_0	2	1	0100101101101011111011001110000001001111101111		1	20	20	2	2			2		2			
H0806	802	0	1	02	01	H0806_802_0	2	5	0000000000000000000000000000000000100000000000	Pap Smear	2				2			2		2			
H0806	802	0	1	02	01	H0806_802_0	2	6	0000000000000000000000000000000000010000000000	PSA Test	2				2			2		2			
H0806	802	0	1	02	01	H0806_802_0	2	3	0000000000000100000000000000000000000000000000	Lab Services	2				2			2		2			
H0806	802	0	1	02	01	H0806_802_0	2	4	0000000000000000000000000000000010000000000000	Flu and Pheumonia Vaccines	2				2			2		2			
H0806	802	0	1	02	01	H0806_802_0	2	2	0001000000000000000000000000000000000000000000	Home Health Services	2				2			2		2			
H0806	803	0	1	02	01	H0806_803_0	2	5	0000000000000000000000000000000000100000000000	Pap Smear	2				2			2		2			
H0806	803	0	1	02	01	H0806_803_0	2	6	0000000000000000000000000000000000010000000000	PSA Test	2				2			2		2			
H0806	803	0	1	02	01	H0806_803_0	2	1	0100101101101011111011001110000001001111101111		1	20	20	2	2			2		2			
H0806	803	0	1	02	01	H0806_803_0	2	2	0001000000000000000000000000000000000000000000	Home Health Services	2				2			2		2			
H0806	803	0	1	02	01	H0806_803_0	2	4	0000000000000000000000000000000010000000000000	Flu and Pheumonia Vaccines	2				2			2		2			
H0806	803	0	1	02	01	H0806_803_0	2	3	0000000000000100000000000000000000000000000000	Lab Services	2				2			2		2			
H1032	002	0	1	02	01	H1032_002_0	11	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	008	0	1	02	01	H1032_008_0	7	1	0111011111111111111111011110000010111111000000		1	30	30	6	2			2		2			
H1032	010	0	1	02	01	H1032_010_0	6	1	0111011111111111111111011110000010111111000000		1	30	30	6	2			2		2			
H1032	012	0	1	02	01	H1032_012_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	014	0	1	02	01	H1032_014_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	019	0	1	02	01	H1032_019_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	025	0	1	02	01	H1032_025_0	6	1	0111011111111111111111011110000010111111000000		1	30	30	6	2			2		2			
H1032	028	0	1	02	01	H1032_028_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	031	0	1	02	01	H1032_031_0	6	1	0111011111111111111111011110000010111111000000		1	30	30	6	2			2		2			
H1032	032	0	1	02	01	H1032_032_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	033	0	1	02	01	H1032_033_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	035	0	1	02	01	H1032_035_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	040	0	1	02	01	H1032_040_0	6	1	0111011111111111111111011110000010111111000000		1	30	30	6	2			2		2			
H1032	043	0	1	02	01	H1032_043_0	6	1	0111011111111111111111011110000010111111000000		1	30	30	6	2			2		2			
H1032	044	0	1	02	01	H1032_044_0	6	1	0111011111111111111111011110000010111111000000		1	30	30	6	2			2		2			
H1032	060	0	1	02	01	H1032_060_0	7	1	0111011111111111111111011110000010111111000000		1	30	30	6	2			2		2			
H1032	061	0	1	02	01	H1032_061_0	8	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	064	0	1	02	01	H1032_064_0	7	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	065	0	1	02	01	H1032_065_0	7	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	066	0	1	02	01	H1032_066_0	6	1	0111011111111111111111011110000010111111000000		1	30	30	6	2			2		2			
H1032	069	0	1	02	01	H1032_069_0	7	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	073	0	1	02	01	H1032_073_0	11	1	0111011111111111111111011110000010111111000000		1	30	30	6	2			2		2			
H1032	079	0	1	02	01	H1032_079_0	6	1	0111011111111111111111011110000010111111000000		1	30	30	6	2			2		2			
H1032	091	0	1	02	01	H1032_091_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	097	0	1	02	01	H1032_097_0	9	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	098	0	1	02	01	H1032_098_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	101	0	1	02	01	H1032_101_0	7	1	0111011111111111111111011110000010111111000000		1	30	30	6	2			2		2			
H1032	102	0	1	02	01	H1032_102_0	7	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	104	0	1	02	01	H1032_104_0	8	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	106	0	1	02	01	H1032_106_0	7	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	107	0	1	02	01	H1032_107_0	7	1	0111011111111111111111011110000010111111000000		1	30	30	6	2			2		2			
H1032	113	0	1	02	01	H1032_113_0	6	1	0111011111111111111111011110000010111111000000		1	30	30	6	2			2		2			
H1032	126	0	1	02	01	H1032_126_0	7	1	0111011111111111111111011110000010111111000000		1	30	30	6	2			2		2			
H1032	131	0	1	02	01	H1032_131_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	132	0	1	02	01	H1032_132_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	133	0	1	02	01	H1032_133_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	136	0	1	02	01	H1032_136_0	7	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	144	0	1	02	01	H1032_144_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	145	0	1	02	01	H1032_145_0	6	1	0111011111111111111111011110000010111111000000		1	30	30	6	2			2		2			
H1032	146	0	1	02	01	H1032_146_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	152	0	1	02	01	H1032_152_0	8	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	153	0	1	02	01	H1032_153_0	7	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	162	0	1	02	01	H1032_162_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	164	0	1	02	01	H1032_164_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	166	0	1	02	01	H1032_166_0	8	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1032	168	0	1	02	01	H1032_168_0	8	1	0111011111111111111111011110000010111111000000		1	30	30	6	2			2		2			
H1032	801	0	1	02	01	H1032_801_0	4	1	0111011111111111111111011110000010111111101111	Group Type 1	1	0	100	6	2			2		2			
H1032	802	0	1	02	01	H1032_802_0	4	1	0111011111111111111111011110000010111111101111	Group Type 1	1	0	100	6	2			2		2			
H1032	803	0	1	02	01	H1032_803_0	4	1	0111011111111111111111011110000010111111101111	Group Type 1	1	0	100	6	2			2		2			
H1032	804	0	1	02	01	H1032_804_0	4	1	0111011111111111111111011110000010111111101111	Group Type 1	1	0	100	6	2			2		2			
H1035	002	0	1	02	01	H1035_002_0	6	1	0111101110111111111111011110000111111111100000	POS - Medical	1	20	20	6	2			2		2			
H1035	006	0	1	02	01	H1035_006_0	7	1	0111101110111111111111011110000111111111100000	POS - Medical	1	20	20	6	2			2		2			
H1035	007	0	1	02	01	H1035_007_0	4	1	0111101110111111111111011110000111111111100000	POS - Medical	1	20	20	6	2			2		2			
H1045	014	0	1	02	01	H1045_014_0	9	1	0000000100000000000000000000000000000000000000	Physician Specialist Services	1	20	20	1	2			2		2			
H1045	015	0	1	02	01	H1045_015_0	7	1	0000000100000000000000000000000000000000000000	Physician Specialist Services	1	20	20	1	2			2		2			
H1080	011	0	1	02	01	H1080_011_0	5	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H1080	011	0	1	02	01	H1080_011_0	5	5	0000000000000111000000000000000000000000000000	Group 5	1	30	30	6	1	7.00	7.00	2		2			
H1080	011	0	1	02	01	H1080_011_0	5	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	2	2			2		2			
H1080	011	0	1	02	01	H1080_011_0	5	4	0000000010010000000100000000000000000000000000	Group 4	2				1	35.00	45.00	2		2			
H1080	011	0	1	02	01	H1080_011_0	5	1	0100111101101000000010000000000001000000001101	Group 1	2				1	40.00	40.00	2		2			
H1080	011	0	1	02	01	H1080_011_0	5	6	0000000000000000100000000000000000000000000000	Group 6	2				1	20.00	20.00	2		2			
H1080	011	0	1	02	01	H1080_011_0	5	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H1080	011	0	1	02	01	H1080_011_0	5	8	0000000000000000000000000010000010000000000000	Group 8	2				1	0.00	0.00	2		2			
H1099	001	0	1	02	01	H1099_001_0	4	1	0111111111111111111111011110000011111111100101		1	20	20	1	2			2		2			
H1099	011	0	1	02	01	H1099_011_0	4	1	0111111111111111111111011110000011111111100101		1	20	20	1	2			2		2			
H1099	804	0	1	02	01	H1099_804_0	2	1	0111111111111111111111011110000011111111100101		1	20	20	1	2			2		2			
H1111	002	0	1	02	01	H1111_002_0	5	4	0000000000000000000000000010000010000000000000	Group 4	2				2			2		2			
H1111	002	0	1	02	01	H1111_002_0	5	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H1111	002	0	1	02	01	H1111_002_0	5	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H1111	002	0	1	02	01	H1111_002_0	5	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H1111	002	0	1	02	01	H1111_002_0	5	6	0000000000000111000000000000000000000000000000	Group 6	1	30	30	6	1	7.00	7.00	2		2			
H1111	002	0	1	02	01	H1111_002_0	5	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H1111	002	0	1	02	01	H1111_002_0	5	1	0100111101101000000010000000000001000000001101	Group 1	2				1	10.00	30.00	2		2			
H1111	002	0	1	02	01	H1111_002_0	5	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H1111	004	0	1	02	01	H1111_004_0	4	2	0000100000000000000000000000000000000000000000	Group 2	1	20	30	6	2			2		2			
H1111	004	0	1	02	01	H1111_004_0	4	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H1111	004	0	1	02	01	H1111_004_0	4	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H1111	005	0	1	02	01	H1111_005_0	3	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H1111	005	0	1	02	01	H1111_005_0	3	1	0111011111111111111111111110100111111111100101	Group 1	1	30	30	6	2			2		2			
H1111	005	0	1	02	01	H1111_005_0	3	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	25.00	2		2			
H1112	801	0	1	02	01	H1112_801_0	4	1	0111011111111111111111011110000010111111101111	Group Type 1	1	0	100	6	2			2		2			
H1112	802	0	1	02	01	H1112_802_0	4	1	0111011111111111111111011110000010111111101111	Group Type 1	1	0	100	6	2			2		2			
H1112	803	0	1	02	01	H1112_803_0	4	1	0111011111111111111111011110000010111111101111	Group Type 1	1	0	100	6	2			2		2			
H1112	804	0	1	02	01	H1112_804_0	4	1	0111011111111111111111011110000010111111101111	Group Type 1	1	0	100	6	2			2		2			
H1216	001	0	1	02	01	H1216_001_0	9	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1216	004	0	1	02	01	H1216_004_0	8	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1264	004	0	1	02	01	H1264_004_0	8	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1264	005	0	1	02	01	H1264_005_0	8	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1264	008	0	1	02	01	H1264_008_0	8	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1264	009	0	1	02	01	H1264_009_0	8	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1264	010	0	1	02	01	H1264_010_0	8	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1264	011	0	1	02	01	H1264_011_0	8	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1264	013	0	1	02	01	H1264_013_0	8	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1264	014	0	1	02	01	H1264_014_0	8	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1286	001	0	1	02	01	H1286_001_0	4	1	0111011111111111111111111110100111111111101101	Group 1	1	30	30	6	2			2		2			
H1286	001	0	1	02	01	H1286_001_0	4	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	10.00	2		2			
H1286	001	0	1	02	01	H1286_001_0	4	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H1286	002	0	1	02	01	H1286_002_0	6	8	0000000000000000000000000010000010000000000000	Group 8	2				2			2		2			
H1286	002	0	1	02	01	H1286_002_0	6	9	0000000000000000011000000000000000000000000000	Group 9	2				1	175.00	175.00	2		2			
H1286	002	0	1	02	01	H1286_002_0	6	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H1286	002	0	1	02	01	H1286_002_0	6	6	0000000000000111000000000000000000000000000000	Group 6	1	30	30	6	1	7.00	7.00	2		2			
H1286	002	0	1	02	01	H1286_002_0	6	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H1286	002	0	1	02	01	H1286_002_0	6	4	0000000000000000100000000000000000000000000000	Group 4	2				1	20.00	20.00	2		2			
H1286	002	0	1	02	01	H1286_002_0	6	3	0001000000000000000000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H1286	002	0	1	02	01	H1286_002_0	6	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H1286	002	0	1	02	01	H1286_002_0	6	1	0100111101101000000010000000000001000000001101	Group 1	2				1	20.00	35.00	2		2			
H1286	003	0	1	02	01	H1286_003_0	5	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H1286	003	0	1	02	01	H1286_003_0	5	4	0000000000000000011000000000000000000000000000	Group 4	2				1	120.00	120.00	2		2			
H1286	003	0	1	02	01	H1286_003_0	5	6	0000000000000111000000000000000000000000000000	Group 6	1	30	30	6	1	7.00	7.00	2		2			
H1286	003	0	1	02	01	H1286_003_0	5	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H1286	003	0	1	02	01	H1286_003_0	5	3	0001000000000000000000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H1286	003	0	1	02	01	H1286_003_0	5	1	0100111101101000000010000000000001000000001101	Group 1	2				1	20.00	25.00	2		2			
H1286	003	0	1	02	01	H1286_003_0	5	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H1286	003	0	1	02	01	H1286_003_0	5	9	0000000000000000100000000000000000000000000000	Group 9	2				1	20.00	20.00	2		2			
H1286	003	0	1	02	01	H1286_003_0	5	8	0000000000000000000000000010000010000000000000	Group 8	2				2			2		2			
H1286	004	0	1	02	01	H1286_004_0	4	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H1286	004	0	1	02	01	H1286_004_0	4	8	0000000000000000000000000010000010000000000000	Group 8	2				1	0.00	0.00	2		2			
H1286	004	0	1	02	01	H1286_004_0	4	1	0100111101101000000010000000000001000000001101	Group 1	2				1	20.00	35.00	2		2			
H1286	004	0	1	02	01	H1286_004_0	4	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H1286	004	0	1	02	01	H1286_004_0	4	6	0000000000000111000000000000000000000000000000	Group 6	1	30	30	6	1	7.00	7.00	2		2			
H1286	004	0	1	02	01	H1286_004_0	4	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H1286	004	0	1	02	01	H1286_004_0	4	4	0000000000000000100000000000000000000000000000	Group 4	2				1	20.00	20.00	2		2			
H1286	004	0	1	02	01	H1286_004_0	4	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H1286	007	0	1	02	01	H1286_007_0	3	1	0111011111111111111111111110100111111111100101	Group 1	1	30	30	6	2			2		2			
H1286	007	0	1	02	01	H1286_007_0	3	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	25.00	2		2			
H1286	007	0	1	02	01	H1286_007_0	3	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H1286	008	0	1	02	01	H1286_008_0	5	6	0000000000000000100000000000000000000000000000	Group 6	2				1	20.00	20.00	2		2			
H1286	008	0	1	02	01	H1286_008_0	5	5	0000000000000111000000000000000000000000000000	Group 5	1	30	30	2	1	7.00	7.00	2		2			
H1286	008	0	1	02	01	H1286_008_0	5	4	0000000010010000000100000000000000000000000000	Group 4	2				1	35.00	45.00	2		2			
H1286	008	0	1	02	01	H1286_008_0	5	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H1286	008	0	1	02	01	H1286_008_0	5	1	0100111101101000000010000000000001000000001101	Group 1	2				1	15.00	35.00	2		2			
H1286	008	0	1	02	01	H1286_008_0	5	9	0000000000000000011000000000000000000000000000	Group 9	2				1	250.00	250.00	2		2			
H1286	008	0	1	02	01	H1286_008_0	5	8	0000000000000000000000000010000010000000000000	Group 8	2				1	0.00	0.00	2		2			
H1286	008	0	1	02	01	H1286_008_0	5	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H1286	008	0	1	02	01	H1286_008_0	5	3	0001000000000000000000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H1286	801	0	1	02	01	H1286_801_0	2	1	0100111101101000000010000000000001000000001101	Group 1	2				1	40.00	40.00	2		2			
H1286	801	0	1	02	01	H1286_801_0	2	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H1286	801	0	1	02	01	H1286_801_0	2	3	0001000000000011011000000000100000111111100000	Group 3	1	40	40	2	2			2		2			
H1286	801	0	1	02	01	H1286_801_0	2	4	0000000010010000000100000000000000000000000000	Group 4	2				1	35.00	45.00	2		2			
H1286	801	0	1	02	01	H1286_801_0	2	9	0000000000000000000000000010000010000000000000	Group 9	2				2			2		2			
H1286	801	0	1	02	01	H1286_801_0	2	6	0000000000000000100000000000000000000000000000	Group 6	2				1	20.00	20.00	2		2			
H1286	801	0	1	02	01	H1286_801_0	2	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H1286	801	0	1	02	01	H1286_801_0	2	8	0000000000000000000000011100000000000000000010	Group 8	1	30	30	2	2			2		2			
H1286	801	0	1	02	01	H1286_801_0	2	5	0000000000000100000000000000000000000000000000	Group 5	1	40	40	2	1	7.00	7.00	2		2			
H1286	803	0	1	02	01	H1286_803_0	2	5	0000000000000100000000000000000000000000000000	Group 5	1	40	40	2	1	7.00	7.00	2		2			
H1286	803	0	1	02	01	H1286_803_0	2	6	0000000000000000100000000000000000000000000000	Group 6	2				1	20.00	20.00	2		2			
H1286	803	0	1	02	01	H1286_803_0	2	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H1286	803	0	1	02	01	H1286_803_0	2	8	0000000000000000000000011100000000000000000010	Group 8	1	30	30	2	2			2		2			
H1286	803	0	1	02	01	H1286_803_0	2	9	0000000000000000000000000010000010000000000000	Group 9	2				2			2		2			
H1286	803	0	1	02	01	H1286_803_0	2	1	0100111101101000000010000000000001000000001101	Group 1	2				1	40.00	40.00	2		2			
H1286	803	0	1	02	01	H1286_803_0	2	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H1286	803	0	1	02	01	H1286_803_0	2	3	0001000000000011011000000000100000111111100000	Group 3	1	40	40	2	2			2		2			
H1286	803	0	1	02	01	H1286_803_0	2	4	0000000010010000000100000000000000000000000000	Group 4	2				1	35.00	45.00	2		2			
H1416	002	0	1	02	01	H1416_002_0	6	1	0111011111111111111111011110000010111111000000		1	25	25	6	2			2		2			
H1416	003	0	1	02	01	H1416_003_0	6	1	0111011111111111111111011110000010111111000000		1	25	25	6	2			2		2			
H1416	009	0	1	02	01	H1416_009_0	6	1	0111011111111111111111011110000010111111000000		1	25	25	6	2			2		2			
H1416	013	0	1	02	01	H1416_013_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1416	014	0	1	02	01	H1416_014_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1416	017	0	1	02	01	H1416_017_0	7	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1416	018	0	1	02	01	H1416_018_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1416	019	0	1	02	01	H1416_019_0	7	1	0111011111111111111111011110000010111111000000		1	25	25	6	2			2		2			
H1416	020	0	1	02	01	H1416_020_0	7	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1416	021	0	1	02	01	H1416_021_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1416	801	0	1	02	01	H1416_801_0	4	1	0111011111111111111111011110000010111111101111	Group Type 1	1	0	100	6	2			2		2			
H1416	802	0	1	02	01	H1416_802_0	4	1	0111011111111111111111011110000010111111101111	Group Type 1	1	0	100	6	2			2		2			
H1416	803	0	1	02	01	H1416_803_0	4	1	0111011111111111111111011110000010111111101111	Group Type 1	1	0	100	6	2			2		2			
H1416	804	0	1	02	01	H1416_804_0	4	1	0111011111111111111111011110000010111111101111	Group Type 1	1	0	100	6	2			2		2			
H1657	002	0	1	02	01	H1657_002_0	7	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1657	003	0	1	02	01	H1657_003_0	7	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1657	005	0	1	02	01	H1657_005_0	7	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1657	006	0	1	02	01	H1657_006_0	8	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1657	007	0	1	02	01	H1657_007_0	7	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1657	008	0	1	02	01	H1657_008_0	7	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1657	009	0	1	02	01	H1657_009_0	7	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H1903	014	0	1	02	01	H1903_014_0	9	1	0111011111111111111111011110000010111111000000		1	30	30	6	2			2		2			
H1903	018	0	1	02	01	H1903_018_0	8	1	0111011111111111111111011110000010111111000000		1	30	30	6	2			2		2			
H1903	022	0	1	02	01	H1903_022_0	8	1	0111011111111111111111011110000010111111000000		1	30	30	6	2			2		2			
H1903	801	0	1	02	01	H1903_801_0	4	1	0111011111111111111111011110000010111111101111	Group Type 1	1	0	100	6	2			2		2			
H1903	802	0	1	02	01	H1903_802_0	4	1	0111011111111111111111011110000010111111101111	Group Type 1	1	0	100	6	2			2		2			
H1903	803	0	1	02	01	H1903_803_0	4	1	0111011111111111111111011110000010111111101111	Group Type 1	1	0	100	6	2			2		2			
H1903	804	0	1	02	01	H1903_804_0	4	1	0111011111111111111111011110000010111111101111	Group Type 1	1	0	100	6	2			2		2			
H1944	001	0	1	02	01	H1944_001_0	5	6	0000000000000000100000000000000000000000000000	Group 6	2				1	20.00	20.00	2		2			
H1944	001	0	1	02	01	H1944_001_0	5	5	0000000000000111000000000000000000000000000000	Group 5	1	30	30	2	1	7.00	7.00	2		2			
H1944	001	0	1	02	01	H1944_001_0	5	4	0000000010010000000100000000000000000000000000	Group 4	2				1	35.00	45.00	2		2			
H1944	001	0	1	02	01	H1944_001_0	5	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H1944	001	0	1	02	01	H1944_001_0	5	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H1944	001	0	1	02	01	H1944_001_0	5	1	0100111101101000000010000000000001000000001101	Group 1	2				1	15.00	30.00	2		2			
H1944	001	0	1	02	01	H1944_001_0	5	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H1944	801	0	1	02	01	H1944_801_0	3	9	0000000000000000000000000010000010000000000000	Group 9	2				1	0.00	0.00	2		2			
H1944	801	0	1	02	01	H1944_801_0	3	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H1944	801	0	1	02	01	H1944_801_0	3	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H1944	801	0	1	02	01	H1944_801_0	3	6	0000000000000100000000000000000000000000000000	Group 6	1	30	30	2	1	7.00	7.00	2		2			
H1944	801	0	1	02	01	H1944_801_0	3	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H1944	801	0	1	02	01	H1944_801_0	3	4	0000100000100000000000000000000001000000000000	Group 4	2				1	25.00	25.00	2		2			
H1944	801	0	1	02	01	H1944_801_0	3	3	0001000000000011011000011100100000111111100010	Group 3	1	30	30	2	2			2		2			
H1944	801	0	1	02	01	H1944_801_0	3	1	0100011101001000000010000000000000000000001101	Group 1	2				1	30.00	30.00	2		2			
H1944	801	0	1	02	01	H1944_801_0	3	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H1944	802	0	1	02	01	H1944_802_0	3	7	0000000000000000000000000010000010000000000000		2				2			2		2			
H1944	802	0	1	02	01	H1944_802_0	3	1	0100011101001000000010000000000000000000001101		2				1	30.00	30.00	2		2			
H1944	802	0	1	02	01	H1944_802_0	3	2	0001000000000011011000011100100000111111100010		1	30	30	2	2			2		2			
H1944	802	0	1	02	01	H1944_802_0	3	3	0010000000000000000000000000000000000000000000		2				1	75.00	75.00	2		2			
H1944	802	0	1	02	01	H1944_802_0	3	4	0000000000000000000001000000000000000000000000		2				1	150.00	150.00	2		2			
H1944	802	0	1	02	01	H1944_802_0	3	5	0000000000000000100000000000000000000000000000		2				1	20.00	20.00	2		2			
H1944	802	0	1	02	01	H1944_802_0	3	6	0000100000100000000000000000000001000000000000		2				1	25.00	25.00	2		2			
H1944	802	0	1	02	01	H1944_802_0	3	8	0000000010010000000100000000000000000000000000		2				1	35.00	45.00	2		2			
H1944	802	0	1	02	01	H1944_802_0	3	9	0000000000000100000000000000000000000000000000		1	30	30	2	1	7.00	7.00	2		2			
H1944	803	0	1	02	01	H1944_803_0	6	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H1944	803	0	1	02	01	H1944_803_0	6	4	0000100000100000000000000000000001000000000000	Group 4	2				1	25.00	25.00	2		2			
H1944	803	0	1	02	01	H1944_803_0	6	1	0100011101001000000010000000000000000000001101	Group 1	2				1	30.00	30.00	2		2			
H1944	803	0	1	02	01	H1944_803_0	6	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H1944	803	0	1	02	01	H1944_803_0	6	6	0000000000000111000000000000000000000000000000	Group 6	1	30	30	6	1	7.00	7.00	2		2			
H1944	803	0	1	02	01	H1944_803_0	6	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H1944	803	0	1	02	01	H1944_803_0	6	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H1944	803	0	1	02	01	H1944_803_0	6	9	0000000000000000000000000010000010000000000000	Group 9	2				2			2		2			
H1944	803	0	1	02	01	H1944_803_0	6	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H1944	804	0	1	02	01	H1944_804_0	4	6	0000000000000111000000000000000000000000000000	Group 6	1	30	30	6	1	7.00	7.00	2		2			
H1944	804	0	1	02	01	H1944_804_0	4	1	0100011101001000000010000000000000000000001101	Group 1	2				1	30.00	30.00	2		2			
H1944	804	0	1	02	01	H1944_804_0	4	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H1944	804	0	1	02	01	H1944_804_0	4	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H1944	804	0	1	02	01	H1944_804_0	4	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H1944	804	0	1	02	01	H1944_804_0	4	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H1944	804	0	1	02	01	H1944_804_0	4	9	0000000000000000000000000010000010000000000000	Group 9	2				2			2		2			
H1944	804	0	1	02	01	H1944_804_0	4	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H1944	804	0	1	02	01	H1944_804_0	4	4	0000100000100000000000000000000001000000000000	Group 4	2				1	25.00	25.00	2		2			
H1961	002	0	1	02	01	H1961_002_0	12	1	0111111111111111111110011110000010111111100111	Choice 3 Medical Benefits	1	20	20	1	2			2		2			
H1961	002	0	1	02	01	H1961_002_0	12	3	0000000000000000000001000000000000000000000000	Ambulance	2				1	50.00	50.00	2		2			
H1961	002	0	1	02	01	H1961_002_0	12	2	0000000000000000000000000000000000000000011000	Dental	2				1	0.00	140.00	2		1	50.00		
H1961	801	0	1	02	01	H1961_801_0	4	1	1111111111111111111110011110000111111111111111	POS Benefits	1	20	20	1	2			2		2			
H1961	802	0	1	02	01	H1961_802_0	4	1	1111111111111111111110011110000111111111111111	POS Benefits	1	20	20	1	2			2		2			
H2108	023	0	1	02	01	H2108_023_0	2	1	0001111100001111111001000010000011111111100000	Group 1	1	20	20	2	2			2		2			
H2108	026	0	1	02	01	H2108_026_0	2	1	0001111100001111111001000010000011111111100000	Group 1	1	20	20	2	2			2		2			
H2182	001	0	1	02	01	H2182_001_0	6	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H2182	001	0	1	02	01	H2182_001_0	6	4	0000000010010000000100000000000000000000000000	Group 4	2				1	35.00	45.00	2		2			
H2182	001	0	1	02	01	H2182_001_0	6	6	0000000000000000100000000000000000000000000000	Group 6	2				1	20.00	20.00	2		2			
H2182	001	0	1	02	01	H2182_001_0	6	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H2182	001	0	1	02	01	H2182_001_0	6	8	0000000000000000000000000010000010000000000000	Group 8	2				1	0.00	0.00	2		2			
H2182	001	0	1	02	01	H2182_001_0	6	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H2182	001	0	1	02	01	H2182_001_0	6	1	0100111101101000000010000000000001000000001101	Group 1	2				1	10.00	30.00	2		2			
H2182	001	0	1	02	01	H2182_001_0	6	5	0000000000000111000000000000000000000000000000	Group 5	1	30	30	2	1	7.00	7.00	2		2			
H2320	007	0	1	02	01	H2320_007_0	4	2	0001000000000000000000000000000000000000000000	Home Health Services	2				2			2		2			
H2320	007	0	1	02	01	H2320_007_0	4	3	0000000000000000000000000010000000000000000000	Outpatient Blood	2				1	0.00	0.00	2		2			
H2320	007	0	1	02	01	H2320_007_0	4	4	0000111101101000000000000000000000000000000101	Physician Services	2				1	25.00	25.00	2		2			
H2320	007	0	1	02	01	H2320_007_0	4	5	0000000010010000000100000000000000000000000000	Behavioral Health Services	2				1	50.00	50.00	2		2			
H2320	007	0	1	02	01	H2320_007_0	4	6	0000000000000101100000000000000000000000000000	X-rays, Labs, and Therapeutic Radiology	2				1	20.00	25.00	2		2			
H2320	007	0	1	02	01	H2320_007_0	4	7	0000000000000010000000000000000000000000000000	Diagnostic Radiological Services	2				1	25.00	25.00	2		2			
H2320	007	0	1	02	01	H2320_007_0	4	8	0000000000000000011000000000000000000000000000	Outpatient Hospital and ACS Services	2				1	30.00	35.00	2		2			
H2320	007	0	1	02	01	H2320_007_0	4	9	0000000000000000000001000000000000000000000000	Ambulance Services	2				1	100.00	100.00	2		2			
H2320	007	0	1	02	01	H2320_007_0	4	10	0000000000000000000000011000000000000000000000	DME and Prosthetics/Medical Supplies	1	30	30	1	2			2		2			
H2320	007	0	1	02	01	H2320_007_0	4	11	0000000000000000000010000100000010111111100000	Preventive Services	2				1	10.00	10.00	2		2			
H2320	007	0	1	02	01	H2320_007_0	4	12	0000000000000000000000000000000001000000000000	Physical Exams	2				1	15.00	15.00	2		2			
H2320	007	0	1	02	01	H2320_007_0	4	13	0100000000000000000000000000000000000000000000	CORF	2				1	25.00	25.00	2		2			
H2320	007	0	1	02	01	H2320_007_0	4	1	0010000000000000000000000000000000000000000000	Partial  Hospitlization	1	50	50	1	2			2		2			
H2320	008	0	1	02	01	H2320_008_0	4	1	0010000000000000000000000000000000000000000000	Partial  Hospitlization	1	50	50	1	2			2		2			
H2320	008	0	1	02	01	H2320_008_0	4	2	0001000000000000000000000000000000000000000000	Home Health Services	2				2			2		2			
H2320	008	0	1	02	01	H2320_008_0	4	13	0100000000000000000000000000000000000000000000	CORF	2				1	25.00	25.00	2		2			
H2320	008	0	1	02	01	H2320_008_0	4	12	0000000000000000000000000000000001000000000000	Physical Exams	2				1	15.00	15.00	2		2			
H2320	008	0	1	02	01	H2320_008_0	4	11	0000000000000000000010000100000010111111100000	Preventive Services	2				1	10.00	10.00	2		2			
H2320	008	0	1	02	01	H2320_008_0	4	10	0000000000000000000000011000000000000000000000	DME and Prosthetics/Medical Supplies	1	30	30	1	2			2		2			
H2320	008	0	1	02	01	H2320_008_0	4	9	0000000000000000000001000000000000000000000000	Ambulance Services	2				1	100.00	100.00	2		2			
H2320	008	0	1	02	01	H2320_008_0	4	8	0000000000000000011000000000000000000000000000	Outpatient Hospital and ACS Services	2				1	30.00	35.00	2		2			
H2320	008	0	1	02	01	H2320_008_0	4	7	0000000000000010000000000000000000000000000000	Diagnostic Radiological Services	2				1	25.00	25.00	2		2			
H2320	008	0	1	02	01	H2320_008_0	4	6	0000000000000101100000000000000000000000000000	X-rays, Labs, and Therapeutic Radiology	2				1	20.00	25.00	2		2			
H2320	008	0	1	02	01	H2320_008_0	4	5	0000000010010000000100000000000000000000000000	Behavioral Health Services	2				1	50.00	50.00	2		2			
H2320	008	0	1	02	01	H2320_008_0	4	4	0000111101101000000000000000000000000000000101	Physician Services	2				1	25.00	25.00	2		2			
H2320	008	0	1	02	01	H2320_008_0	4	3	0000000000000000000000000010000000000000000000	Outpatient Blood	2				1	0.00	0.00	2		2			
H2320	009	0	1	02	01	H2320_009_0	5	1	0010000000000000000000000000000000000000000000	Partial  Hospitlization	1	50	50	1	2			2		2			
H2320	009	0	1	02	01	H2320_009_0	5	12	0000000000000000000000000000000001000000000000	Physical Exams	2				1	20.00	20.00	2		2			
H2320	009	0	1	02	01	H2320_009_0	5	11	0000000000000000000010000100000010111111100000	Preventive Services	2				1	10.00	10.00	2		2			
H2320	009	0	1	02	01	H2320_009_0	5	10	0000000000000000000000011000000000000000000000	DME and Prosthetics/Medical Supplies	1	30	30	1	2			2		2			
H2320	009	0	1	02	01	H2320_009_0	5	9	0000000000000000000001000000000000000000000000	Ambulance Services	2				1	100.00	100.00	2		2			
H2320	009	0	1	02	01	H2320_009_0	5	8	0000000000000000011000000000000000000000000000	Outpatient Hospital and ACS Services	2				1	30.00	35.00	2		2			
H2320	009	0	1	02	01	H2320_009_0	5	13	0100000000000000000000000000000000000000000000	CORF	2				1	25.00	25.00	2		2			
H2320	009	0	1	02	01	H2320_009_0	5	6	0000000000000101100000000000000000000000000000	X-rays, Labs, and Therapeutic Radiology	2				1	20.00	25.00	2		2			
H2320	009	0	1	02	01	H2320_009_0	5	5	0000000010010000000100000000000000000000000000	Behavioral Health Services	2				1	50.00	50.00	2		2			
H2320	009	0	1	02	01	H2320_009_0	5	4	0000111101101000000000000000000000000000000101	Physician Services	2				1	25.00	25.00	2		2			
H2320	009	0	1	02	01	H2320_009_0	5	3	0000000000000000000000000010000000000000000000	Outpatient Blood	2				1	0.00	0.00	2		2			
H2320	009	0	1	02	01	H2320_009_0	5	2	0001000000000000000000000000000000000000000000	Home Health Services	2				2			2		2			
H2320	009	0	1	02	01	H2320_009_0	5	7	0000000000000010000000000000000000000000000000	Diagnostic Radiological Services	2				1	25.00	25.00	2		2			
H2320	010	0	1	02	01	H2320_010_0	5	1	0010000000000000000000000000000000000000000000	Partial  Hospitlization	1	50	50	1	2			2		2			
H2320	010	0	1	02	01	H2320_010_0	5	2	0001000000000000000000000000000000000000000000	Home Health Services	2				2			2		2			
H2320	010	0	1	02	01	H2320_010_0	5	13	0100000000000000000000000000000000000000000000	CORF	2				1	25.00	25.00	2		2			
H2320	010	0	1	02	01	H2320_010_0	5	12	0000000000000000000000000000000001000000000000	Physical Exams	2				1	20.00	20.00	2		2			
H2320	010	0	1	02	01	H2320_010_0	5	11	0000000000000000000010000100000010111111100000	Preventive Services	2				1	10.00	10.00	2		2			
H2320	010	0	1	02	01	H2320_010_0	5	10	0000000000000000000000011000000000000000000000	DME and Prosthetics/Medical Supplies	1	30	30	1	2			2		2			
H2320	010	0	1	02	01	H2320_010_0	5	9	0000000000000000000001000000000000000000000000	Ambulance Services	2				1	100.00	100.00	2		2			
H2320	010	0	1	02	01	H2320_010_0	5	8	0000000000000000011000000000000000000000000000	Outpatient Hospital and ACS Services	2				1	30.00	35.00	2		2			
H2320	010	0	1	02	01	H2320_010_0	5	7	0000000000000010000000000000000000000000000000	Diagnostic Radiological Services	2				1	25.00	25.00	2		2			
H2320	010	0	1	02	01	H2320_010_0	5	6	0000000000000101100000000000000000000000000000	X-rays, Labs, and Therapeutic Radiology	2				1	20.00	25.00	2		2			
H2320	010	0	1	02	01	H2320_010_0	5	5	0000000010010000000100000000000000000000000000	Behavioral Health Services	2				1	50.00	50.00	2		2			
H2320	010	0	1	02	01	H2320_010_0	5	4	0000111101101000000000000000000000000000000101	Physician Services	2				1	25.00	25.00	2		2			
H2320	010	0	1	02	01	H2320_010_0	5	3	0000000000000000000000000010000000000000000000	Outpatient Blood	2				1	0.00	0.00	2		2			
H2320	011	0	1	02	01	H2320_011_0	4	1	0010000000000000000000000000000000000000000000	Partial  Hospitlization	1	50	50	1	2			2		2			
H2320	011	0	1	02	01	H2320_011_0	4	12	0000000000000000000000000000000001000000000000	Physical Exams	2				1	20.00	20.00	2		2			
H2320	011	0	1	02	01	H2320_011_0	4	11	0000000000000000000010000100000010111111100000	Preventive Services	2				1	10.00	10.00	2		2			
H2320	011	0	1	02	01	H2320_011_0	4	10	0000000000000000000000011000000000000000000000	DME and Prosthetics/Medical Supplies	1	30	30	1	2			2		2			
H2320	011	0	1	02	01	H2320_011_0	4	9	0000000000000000000001000000000000000000000000	Ambulance Services	2				1	100.00	100.00	2		2			
H2320	011	0	1	02	01	H2320_011_0	4	8	0000000000000000011000000000000000000000000000	Outpatient Hospital and ACS Services	2				1	100.00	100.00	2		2			
H2320	011	0	1	02	01	H2320_011_0	4	13	0100000000000000000000000000000000000000000000	CORF	2				1	35.00	35.00	2		2			
H2320	011	0	1	02	01	H2320_011_0	4	6	0000000000000101100000000000000000000000000000	X-rays, Labs, and Therapeutic Radiology	2				1	20.00	40.00	2		2			
H2320	011	0	1	02	01	H2320_011_0	4	5	0000000010010000000100000000000000000000000000	Behavioral Health Services	2				1	50.00	50.00	2		2			
H2320	011	0	1	02	01	H2320_011_0	4	4	0000111101101000000000000000000000000000000101	Physician Services	2				1	35.00	35.00	2		2			
H2320	011	0	1	02	01	H2320_011_0	4	3	0000000000000000000000000010000000000000000000	Outpatient Blood	2				1	0.00	0.00	2		2			
H2320	011	0	1	02	01	H2320_011_0	4	2	0001000000000000000000000000000000000000000000	Home Health Services	2				2			2		2			
H2320	011	0	1	02	01	H2320_011_0	4	7	0000000000000010000000000000000000000000000000	Diagnostic Radiological Services	2				1	40.00	40.00	2		2			
H2320	012	0	1	02	01	H2320_012_0	4	6	0000000000000101100000000000000000000000000000	X-rays, Labs, and Therapeutic Radiology	2				1	20.00	40.00	2		2			
H2320	012	0	1	02	01	H2320_012_0	4	7	0000000000000010000000000000000000000000000000	Diagnostic Radiological Services	2				1	40.00	40.00	2		2			
H2320	012	0	1	02	01	H2320_012_0	4	8	0000000000000000011000000000000000000000000000	Outpatient Hospital and ACS Services	2				1	100.00	100.00	2		2			
H2320	012	0	1	02	01	H2320_012_0	4	9	0000000000000000000001000000000000000000000000	Ambulance Services	2				1	100.00	100.00	2		2			
H2320	012	0	1	02	01	H2320_012_0	4	10	0000000000000000000000011000000000000000000000	DME and Prosthetics/Medical Supplies	1	30	30	1	2			2		2			
H2320	012	0	1	02	01	H2320_012_0	4	11	0000000000000000000010000100000010111111100000	Preventive Services	2				1	10.00	10.00	2		2			
H2320	012	0	1	02	01	H2320_012_0	4	12	0000000000000000000000000000000001000000000000	Physical Exams	2				1	20.00	20.00	2		2			
H2320	012	0	1	02	01	H2320_012_0	4	13	0100000000000000000000000000000000000000000000	CORF	2				1	35.00	35.00	2		2			
H2320	012	0	1	02	01	H2320_012_0	4	1	0010000000000000000000000000000000000000000000	Partial  Hospitlization	1	50	50	1	2			2		2			
H2320	012	0	1	02	01	H2320_012_0	4	2	0001000000000000000000000000000000000000000000	Home Health Services	2				2			2		2			
H2320	012	0	1	02	01	H2320_012_0	4	3	0000000000000000000000000010000000000000000000	Outpatient Blood	2				1	0.00	0.00	2		2			
H2320	012	0	1	02	01	H2320_012_0	4	4	0000111101101000000000000000000000000000000101	Physician Services	2				1	35.00	35.00	2		2			
H2320	012	0	1	02	01	H2320_012_0	4	5	0000000010010000000100000000000000000000000000	Behavioral Health Services	2				1	50.00	50.00	2		2			
H2320	013	0	1	02	01	H2320_013_0	4	6	0000000000000101100000000000000000000000000000	X-rays, Labs, and Therapeutic Radiology	2				1	20.00	25.00	2		2			
H2320	013	0	1	02	01	H2320_013_0	4	5	0000000010010000000100000000000000000000000000	Behavioral Health Services	2				1	50.00	50.00	2		2			
H2320	013	0	1	02	01	H2320_013_0	4	4	0000111101101000000000000000000000000000000101	Physician Services	2				1	25.00	25.00	2		2			
H2320	013	0	1	02	01	H2320_013_0	4	3	0000000000000000000000000010000000000000000000	Outpatient Blood	2				1	0.00	0.00	2		2			
H2320	013	0	1	02	01	H2320_013_0	4	2	0001000000000000000000000000000000000000000000	Home Health Services	2				2			2		2			
H2320	013	0	1	02	01	H2320_013_0	4	1	0010000000000000000000000000000000000000000000	Partial  Hospitlization	1	50	50	1	2			2		2			
H2320	013	0	1	02	01	H2320_013_0	4	13	0100000000000000000000000000000000000000000000	CORF	2				1	25.00	25.00	2		2			
H2320	013	0	1	02	01	H2320_013_0	4	8	0000000000000000011000000000000000000000000000	Outpatient Hospital and ACS Services	2				1	30.00	35.00	2		2			
H2320	013	0	1	02	01	H2320_013_0	4	9	0000000000000000000001000000000000000000000000	Ambulance Services	2				1	100.00	100.00	2		2			
H2320	013	0	1	02	01	H2320_013_0	4	10	0000000000000000000000011000000000000000000000	DME and Prosthetics/Medical Supplies	1	30	30	1	2			2		2			
H2320	013	0	1	02	01	H2320_013_0	4	11	0000000000000000000010000100000010111111100000	Preventive Services	2				1	10.00	10.00	2		2			
H2320	013	0	1	02	01	H2320_013_0	4	12	0000000000000000000000000000000001000000000000	Physical Exams	2				1	15.00	15.00	2		2			
H2320	013	0	1	02	01	H2320_013_0	4	7	0000000000000010000000000000000000000000000000	Diagnostic Radiological Services	2				1	25.00	25.00	2		2			
H2320	014	0	1	02	01	H2320_014_0	5	6	0000000000000101100000000000000000000000000000	X-rays, Labs, and Therapeutic Radiology	2				1	20.00	25.00	2		2			
H2320	014	0	1	02	01	H2320_014_0	5	5	0000000010010000000100000000000000000000000000	Behavioral Health Services	2				1	50.00	50.00	2		2			
H2320	014	0	1	02	01	H2320_014_0	5	4	0000111101101000000000000000000000000000000101	Physician Services	2				1	25.00	25.00	2		2			
H2320	014	0	1	02	01	H2320_014_0	5	3	0000000000000000000000000010000000000000000000	Outpatient Blood	2				1	0.00	0.00	2		2			
H2320	014	0	1	02	01	H2320_014_0	5	2	0001000000000000000000000000000000000000000000	Home Health Services	2				2			2		2			
H2320	014	0	1	02	01	H2320_014_0	5	1	0010000000000000000000000000000000000000000000	Partial  Hospitlization	1	50	50	1	2			2		2			
H2320	014	0	1	02	01	H2320_014_0	5	7	0000000000000010000000000000000000000000000000	Diagnostic Radiological Services	2				1	25.00	25.00	2		2			
H2320	014	0	1	02	01	H2320_014_0	5	13	0100000000000000000000000000000000000000000000	CORF	2				1	25.00	25.00	2		2			
H2320	014	0	1	02	01	H2320_014_0	5	12	0000000000000000000000000000000001000000000000	Physical Exams	2				1	20.00	20.00	2		2			
H2320	014	0	1	02	01	H2320_014_0	5	11	0000000000000000000010000100000010111111100000	Preventive Services	2				1	10.00	10.00	2		2			
H2320	014	0	1	02	01	H2320_014_0	5	10	0000000000000000000000011000000000000000000000	DME and Prosthetics/Medical Supplies	1	30	30	1	2			2		2			
H2320	014	0	1	02	01	H2320_014_0	5	9	0000000000000000000001000000000000000000000000	Ambulance Services	2				1	100.00	100.00	2		2			
H2320	014	0	1	02	01	H2320_014_0	5	8	0000000000000000011000000000000000000000000000	Outpatient Hospital and ACS Services	2				1	30.00	35.00	2		2			
H2320	015	0	1	02	01	H2320_015_0	4	1	0010000000000000000000000000000000000000000000	Partial  Hospitlization	1	50	50	1	2			2		2			
H2320	015	0	1	02	01	H2320_015_0	4	2	0001000000000000000000000000000000000000000000	Home Health Services	2				2			2		2			
H2320	015	0	1	02	01	H2320_015_0	4	3	0000000000000000000000000010000000000000000000	Outpatient Blood	2				1	0.00	0.00	2		2			
H2320	015	0	1	02	01	H2320_015_0	4	4	0000111101101000000000000000000000000000000101	Physician Services	2				1	35.00	35.00	2		2			
H2320	015	0	1	02	01	H2320_015_0	4	5	0000000010010000000100000000000000000000000000	Behavioral Health Services	2				1	50.00	50.00	2		2			
H2320	015	0	1	02	01	H2320_015_0	4	6	0000000000000101100000000000000000000000000000	X-rays, Labs, and Therapeutic Radiology	2				1	20.00	40.00	2		2			
H2320	015	0	1	02	01	H2320_015_0	4	13	0100000000000000000000000000000000000000000000	CORF	2				1	35.00	35.00	2		2			
H2320	015	0	1	02	01	H2320_015_0	4	11	0000000000000000000010000100000010111111100000	Preventive Services	2				1	10.00	10.00	2		2			
H2320	015	0	1	02	01	H2320_015_0	4	10	0000000000000000000000011000000000000000000000	DME and Prosthetics/Medical Supplies	1	30	30	1	2			2		2			
H2320	015	0	1	02	01	H2320_015_0	4	9	0000000000000000000001000000000000000000000000	Ambulance Services	2				1	100.00	100.00	2		2			
H2320	015	0	1	02	01	H2320_015_0	4	8	0000000000000000011000000000000000000000000000	Outpatient Hospital and ACS Services	2				1	100.00	100.00	2		2			
H2320	015	0	1	02	01	H2320_015_0	4	7	0000000000000010000000000000000000000000000000	Diagnostic Radiological Services	2				1	40.00	40.00	2		2			
H2320	015	0	1	02	01	H2320_015_0	4	12	0000000000000000000000000000000001000000000000	Physical Exams	2				1	20.00	20.00	2		2			
H2320	016	0	1	02	01	H2320_016_0	4	1	0010000000000000000000000000000000000000000000	Partial  Hospitlization	1	50	50	1	2			2		2			
H2320	016	0	1	02	01	H2320_016_0	4	2	0001000000000000000000000000000000000000000000	Home Health Services	2				2			2		2			
H2320	016	0	1	02	01	H2320_016_0	4	3	0000000000000000000000000010000000000000000000	Outpatient Blood	2				1	0.00	0.00	2		2			
H2320	016	0	1	02	01	H2320_016_0	4	4	0000111101101000000000000000000000000000000101	Physician Services	2				1	25.00	25.00	2		2			
H2320	016	0	1	02	01	H2320_016_0	4	5	0000000010010000000100000000000000000000000000	Behavioral Health Services	2				1	50.00	50.00	2		2			
H2320	016	0	1	02	01	H2320_016_0	4	6	0000000000000101100000000000000000000000000000	X-rays, Labs, and Therapeutic Radiology	2				1	20.00	25.00	2		2			
H2320	016	0	1	02	01	H2320_016_0	4	7	0000000000000010000000000000000000000000000000	Diagnostic Radiological Services	2				1	25.00	25.00	2		2			
H2320	016	0	1	02	01	H2320_016_0	4	8	0000000000000000011000000000000000000000000000	Outpatient Hospital and ACS Services	2				1	30.00	35.00	2		2			
H2320	016	0	1	02	01	H2320_016_0	4	9	0000000000000000000001000000000000000000000000	Ambulance Services	2				1	100.00	100.00	2		2			
H2320	016	0	1	02	01	H2320_016_0	4	10	0000000000000000000000011000000000000000000000	DME and Prosthetics/Medical Supplies	1	30	30	1	2			2		2			
H2320	016	0	1	02	01	H2320_016_0	4	11	0000000000000000000010000100000010111111100000	Preventive Services	2				1	10.00	10.00	2		2			
H2320	016	0	1	02	01	H2320_016_0	4	12	0000000000000000000000000000000001000000000000	Physical Exams	2				1	15.00	15.00	2		2			
H2320	016	0	1	02	01	H2320_016_0	4	13	0100000000000000000000000000000000000000000000	CORF	2				1	25.00	25.00	2		2			
H2320	017	0	1	02	01	H2320_017_0	5	3	0000000000000000000000000010000000000000000000	Outpatient Blood	2				1	0.00	0.00	2		2			
H2320	017	0	1	02	01	H2320_017_0	5	2	0001000000000000000000000000000000000000000000	Home Health Services	2				2			2		2			
H2320	017	0	1	02	01	H2320_017_0	5	1	0010000000000000000000000000000000000000000000	Partial  Hospitlization	1	50	50	1	2			2		2			
H2320	017	0	1	02	01	H2320_017_0	5	4	0000111101101000000000000000000000000000000101	Physician Services	2				1	25.00	25.00	2		2			
H2320	017	0	1	02	01	H2320_017_0	5	5	0000000010010000000100000000000000000000000000	Behavioral Health Services	2				1	50.00	50.00	2		2			
H2320	017	0	1	02	01	H2320_017_0	5	6	0000000000000101100000000000000000000000000000	X-rays, Labs, and Therapeutic Radiology	2				1	20.00	25.00	2		2			
H2320	017	0	1	02	01	H2320_017_0	5	13	0100000000000000000000000000000000000000000000	CORF	2				1	25.00	25.00	2		2			
H2320	017	0	1	02	01	H2320_017_0	5	8	0000000000000000011000000000000000000000000000	Outpatient Hospital and ACS Services	2				1	30.00	35.00	2		2			
H2320	017	0	1	02	01	H2320_017_0	5	9	0000000000000000000001000000000000000000000000	Ambulance Services	2				1	100.00	100.00	2		2			
H2320	017	0	1	02	01	H2320_017_0	5	10	0000000000000000000000011000000000000000000000	DME and Prosthetics/Medical Supplies	1	30	30	1	2			2		2			
H2320	017	0	1	02	01	H2320_017_0	5	11	0000000000000000000010000100000010111111100000	Preventive Services	2				1	10.00	10.00	2		2			
H2320	017	0	1	02	01	H2320_017_0	5	12	0000000000000000000000000000000001000000000000	Physical Exams	2				1	20.00	20.00	2		2			
H2320	017	0	1	02	01	H2320_017_0	5	7	0000000000000010000000000000000000000000000000	Diagnostic Radiological Services	2				1	25.00	25.00	2		2			
H2320	018	0	1	02	01	H2320_018_0	4	3	0000000000000000000000000010000000000000000000	Outpatient Blood	2				1	0.00	0.00	2		2			
H2320	018	0	1	02	01	H2320_018_0	4	2	0001000000000000000000000000000000000000000000	Home Health Services	2				2			2		2			
H2320	018	0	1	02	01	H2320_018_0	4	1	0010000000000000000000000000000000000000000000	Partial  Hospitlization	1	50	50	1	2			2		2			
H2320	018	0	1	02	01	H2320_018_0	4	4	0000111101101000000000000000000000000000000101	Physician Services	2				1	35.00	35.00	2		2			
H2320	018	0	1	02	01	H2320_018_0	4	13	0100000000000000000000000000000000000000000000	CORF	2				1	35.00	35.00	2		2			
H2320	018	0	1	02	01	H2320_018_0	4	12	0000000000000000000000000000000001000000000000	Physical Exams	2				1	20.00	20.00	2		2			
H2320	018	0	1	02	01	H2320_018_0	4	11	0000000000000000000010000100000010111111100000	Preventive Services	2				1	10.00	10.00	2		2			
H2320	018	0	1	02	01	H2320_018_0	4	10	0000000000000000000000011000000000000000000000	DME and Prosthetics/Medical Supplies	1	30	30	1	2			2		2			
H2320	018	0	1	02	01	H2320_018_0	4	9	0000000000000000000001000000000000000000000000	Ambulance Services	2				1	100.00	100.00	2		2			
H2320	018	0	1	02	01	H2320_018_0	4	8	0000000000000000011000000000000000000000000000	Outpatient Hospital and ACS Services	2				1	100.00	100.00	2		2			
H2320	018	0	1	02	01	H2320_018_0	4	7	0000000000000010000000000000000000000000000000	Diagnostic Radiological Services	2				1	40.00	40.00	2		2			
H2320	018	0	1	02	01	H2320_018_0	4	5	0000000010010000000100000000000000000000000000	Behavioral Health Services	2				1	50.00	50.00	2		2			
H2320	018	0	1	02	01	H2320_018_0	4	6	0000000000000101100000000000000000000000000000	X-rays, Labs, and Therapeutic Radiology	2				1	20.00	40.00	2		2			
H2320	802	0	1	02	01	H2320_802_0	5	2	0000000010010000000100000000000000000000000000	Behavioral Health Services	1	50	50	1	2			2		2			
H2320	802	0	1	02	01	H2320_802_0	5	1	0111111101101111111011011110000010111111101111	Services with 20% coinsurance	1	20	20	1	2			2		2			
H2320	803	0	1	02	01	H2320_803_0	5	2	0000000010010000000100000000000000000000000000	Behavioral Health Services	1	50	50	1	2			2		2			
H2320	803	0	1	02	01	H2320_803_0	5	1	0111111101101111111011011110000010111111101111	Services with 20% coinsurance	1	20	20	1	2			2		2			
H2320	806	0	1	02	01	H2320_806_0	5	1	0111111101101111111011011110000010111111101111	Services with 20% coinsurance	1	20	20	1	2			2		2			
H2320	806	0	1	02	01	H2320_806_0	5	2	0000000010010000000100000000000000000000000000	Behavioral Health Services	1	50	50	1	2			2		2			
H2320	807	0	1	02	01	H2320_807_0	5	1	0111111101101111111011011110000010111111101111	Services with 20% coinsurance	1	20	20	1	2			2		2			
H2320	807	0	1	02	01	H2320_807_0	5	2	0000000010010000000100000000000000000000000000	Behavioral Health Services	1	50	50	1	2			2		2			
H2459	001	0	1	02	01	H2459_001_0	3	1	0111101111111111111111011110000011111111100101	All Other POS Benefits	1	20	20	3	2			2		2			
H2459	002	0	1	02	01	H2459_002_0	5	1	0111101111111111111111011110000011111111100101	All Other POS Benefits	1	20	20	3	2			2		2			
H2459	005	0	1	02	01	H2459_005_0	3	1	0111101111111111111111011110000011111111100101	All Other POS Benefits	1	20	20	3	2			2		2			
H2459	006	0	1	02	01	H2459_006_0	5	1	0111101111111111111111011110000011111111100101	All Other POS Benefits	1	20	20	3	2			2		2			
H2459	013	0	1	02	01	H2459_013_0	5	1	0111101111111111111111011110000011111111100101	All Other POS Benefits	1	20	20	3	2			2		2			
H2459	014	0	1	02	01	H2459_014_0	4	1	0111101111111111111111011110000011111111100101	All Other POS Benefits	1	20	20	3	2			2		2			
H2459	801	0	1	02	01	H2459_801_0	2	1	0111101111111111111111011110000011111111100101	All Other POS Benefits	1	20	20	3	2			2		2			
H2459	803	0	1	02	01	H2459_803_0	2	1	0111101111111111111111011110000011111111100101	All Other POS Benefits	1	20	20	3	2			2		2			
H2654	010	0	1	02	01	H2654_010_0	6	3	0000000000000111000000000000000000000000000000	Group 3	1	30	30	6	1	7.00	7.00	2		2			
H2654	010	0	1	02	01	H2654_010_0	6	2	0000000010010000000100000000000000000000000000	Group 2	2				1	35.00	45.00	2		2			
H2654	010	0	1	02	01	H2654_010_0	6	1	0100111101001000000010000000000001000000001101	Group 1	2				1	20.00	35.00	2		2			
H2654	010	0	1	02	01	H2654_010_0	6	8	0000000000000000000000000010000010000000000000	Group 8	2				1	0.00	0.00	2		2			
H2654	010	0	1	02	01	H2654_010_0	6	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H2654	010	0	1	02	01	H2654_010_0	6	6	0001000000000000011000011100100000111111100010	Group 6	1	30	30	6	2			2		2			
H2654	010	0	1	02	01	H2654_010_0	6	5	0010000000000000000000000000000000000000000000	Group 5	2				1	75.00	75.00	2		2			
H2654	010	0	1	02	01	H2654_010_0	6	4	0000000000100000100000000000000000000000000000	Group 4	2				1	20.00	20.00	2		2			
H2654	013	0	1	02	01	H2654_013_0	5	4	0000000000000000100000000000000000000000000000	Group 4	2				1	20.00	20.00	2		2			
H2654	013	0	1	02	01	H2654_013_0	5	3	0000000000000111000000000000000000000000000000	Group 3	1	35	35	6	1	10.00	10.00	2		2			
H2654	013	0	1	02	01	H2654_013_0	5	1	0100001000001000011010000000000000000000000000	Group 1	1	35	35	6	2			2		2			
H2654	013	0	1	02	01	H2654_013_0	5	2	0000000010010000000100000000000000000000000000	Group 2	2				1	35.00	45.00	2		2			
H2654	022	0	1	02	01	H2654_022_0	3	3	0000000000000111000000000000000000000000000000	Group 3	1	35	35	6	1	10.00	10.00	2		2			
H2654	022	0	1	02	01	H2654_022_0	3	2	0000000010010000000100000000000000000000000000	Group 2	2				1	35.00	45.00	2		2			
H2654	022	0	1	02	01	H2654_022_0	3	1	0100001000001000011010000000000000000000000000	Group 1	1	35	35	6	2			2		2			
H2654	022	0	1	02	01	H2654_022_0	3	4	0000000000000000100000000000000000000000000000	Group 4	2				1	20.00	20.00	2		2			
H2803	001	0	1	02	01	H2803_001_0	4	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H2803	001	0	1	02	01	H2803_001_0	4	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H2803	001	0	1	02	01	H2803_001_0	4	6	0000000000000111000000000000000000000000000000	Group 6	1	25	25	6	1	7.00	7.00	2		2			
H2803	001	0	1	02	01	H2803_001_0	4	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H2803	001	0	1	02	01	H2803_001_0	4	4	0000000000000000000000000010000010000000000000	Group 4	2				2			2		2			
H2803	001	0	1	02	01	H2803_001_0	4	3	0001000000000000011000011100100000111111100010	Group 3	1	25	25	6	2			2		2			
H2803	001	0	1	02	01	H2803_001_0	4	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H2803	001	0	1	02	01	H2803_001_0	4	1	0100111101101000000010000000000001000000001101	Group 1	2				1	10.00	30.00	2		2			
H2803	002	0	1	02	01	H2803_002_0	4	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H2803	002	0	1	02	01	H2803_002_0	4	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H2803	002	0	1	02	01	H2803_002_0	4	6	0000000000000111000000000000000000000000000000	Group 6	1	25	25	2	1	7.00	7.00	2		2			
H2803	002	0	1	02	01	H2803_002_0	4	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H2803	002	0	1	02	01	H2803_002_0	4	4	0000000000000000000000000010000010000000000000	Group 4	2				2			2		2			
H2803	002	0	1	02	01	H2803_002_0	4	3	0001000000000000011000011100100000111111100010	Group 3	1	25	25	6	2			2		2			
H2803	002	0	1	02	01	H2803_002_0	4	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H2803	002	0	1	02	01	H2803_002_0	4	1	0100111101101000000010000000000001000000001101	Group 1	2				1	10.00	30.00	2		2			
H2803	010	0	1	02	01	H2803_010_0	4	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H2803	010	0	1	02	01	H2803_010_0	4	2	0000100000000000000000000000000000000000000000	Group 2	1	20	30	6	2			2		2			
H2803	010	0	1	02	01	H2803_010_0	4	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H2803	011	0	1	02	01	H2803_011_0	4	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H2803	011	0	1	02	01	H2803_011_0	4	1	0111011111111111111111111110100111111111101101	Group 1	1	30	30	6	2			2		2			
H2803	011	0	1	02	01	H2803_011_0	4	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	35.00	2		2			
H2803	012	0	1	02	01	H2803_012_0	4	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H2803	012	0	1	02	01	H2803_012_0	4	2	0000100000000000000000000000000000000000000000	Group 2	1	20	30	6	2			2		2			
H2803	012	0	1	02	01	H2803_012_0	4	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H2803	014	0	1	02	01	H2803_014_0	3	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H2803	014	0	1	02	01	H2803_014_0	3	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	25.00	2		2			
H2803	014	0	1	02	01	H2803_014_0	3	1	0111011111111111111111111110100111111111100101	Group 1	1	30	30	6	2			2		2			
H2803	015	0	1	02	01	H2803_015_0	3	1	0111011111111111111111111110100111111111100101	Group 1	1	30	30	6	2			2		2			
H2803	015	0	1	02	01	H2803_015_0	3	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H2803	015	0	1	02	01	H2803_015_0	3	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	25.00	2		2			
H2803	801	0	1	02	01	H2803_801_0	4	1	0100011101001000000010000000000000000000001101	Group 1	2				1	30.00	30.00	2		2			
H2803	801	0	1	02	01	H2803_801_0	4	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H2803	801	0	1	02	01	H2803_801_0	4	9	0000000000000000000000000010000010000000000000	Group 9	2				1	0.00	0.00	2		2			
H2803	801	0	1	02	01	H2803_801_0	4	8	0000000000000000000000011100000000000000000010	Group 8	1	30	30	2	2			2		2			
H2803	801	0	1	02	01	H2803_801_0	4	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H2803	801	0	1	02	01	H2803_801_0	4	6	0000000000000100000000000000000000000000000000	Group 6	1	25	25	2	1	7.00	7.00	2		2			
H2803	801	0	1	02	01	H2803_801_0	4	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H2803	801	0	1	02	01	H2803_801_0	4	4	0000100000100000100000000000000001000000000000	Group 4	2				1	20.00	20.00	2		2			
H2803	801	0	1	02	01	H2803_801_0	4	3	0001000000000011011000000000100000111111100000	Group 3	1	25	25	2	2			2		2			
H2803	803	0	1	02	01	H2803_803_0	4	1	0100011101001000000010000000000000000000001101	Group 1	2				1	30.00	30.00	2		2			
H2803	803	0	1	02	01	H2803_803_0	4	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H2803	803	0	1	02	01	H2803_803_0	4	3	0001000000000011011000000000100000111111100000	Group 3	1	25	25	2	2			2		2			
H2803	803	0	1	02	01	H2803_803_0	4	4	0000100000100000100000000000000001000000000000	Group 4	2				1	20.00	20.00	2		2			
H2803	803	0	1	02	01	H2803_803_0	4	9	0000000000000000000000000010000010000000000000	Group 9	2				1	0.00	0.00	2		2			
H2803	803	0	1	02	01	H2803_803_0	4	6	0000000000000100000000000000000000000000000000	Group 6	1	25	25	2	1	7.00	7.00	2		2			
H2803	803	0	1	02	01	H2803_803_0	4	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H2803	803	0	1	02	01	H2803_803_0	4	8	0000000000000000000000011100000000000000000010	Group 8	1	30	30	2	2			2		2			
H2803	803	0	1	02	01	H2803_803_0	4	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H2803	804	0	1	02	01	H2803_804_0	4	6	0000000000000100000000000000000000000000000000	Group 6	1	25	25	2	1	7.00	7.00	2		2			
H2803	804	0	1	02	01	H2803_804_0	4	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H2803	804	0	1	02	01	H2803_804_0	4	8	0000000000000000000000011100000000000000000010	Group 8	1	30	30	2	2			2		2			
H2803	804	0	1	02	01	H2803_804_0	4	9	0000000000000000000000000010000010000000000000	Group 9	2				1	0.00	0.00	2		2			
H2803	804	0	1	02	01	H2803_804_0	4	1	0100011101001000000010000000000000000000001101	Group 1	2				1	30.00	30.00	2		2			
H2803	804	0	1	02	01	H2803_804_0	4	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H2803	804	0	1	02	01	H2803_804_0	4	3	0001000000000011011000000000100000111111100000	Group 3	1	25	25	2	2			2		2			
H2803	804	0	1	02	01	H2803_804_0	4	4	0000100000100000100000000000000001000000000000	Group 4	2				1	20.00	20.00	2		2			
H2803	804	0	1	02	01	H2803_804_0	4	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H2803	805	0	1	02	01	H2803_805_0	4	1	0100011101001000000010000000000000000000001101	Group 1	2				1	30.00	30.00	2		2			
H2803	805	0	1	02	01	H2803_805_0	4	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H2803	805	0	1	02	01	H2803_805_0	4	3	0001000000000011011000000000100000111111100000	Group 3	1	25	25	2	2			2		2			
H2803	805	0	1	02	01	H2803_805_0	4	4	0000100000100000100000000000000001000000000000	Group 4	2				1	20.00	20.00	2		2			
H2803	805	0	1	02	01	H2803_805_0	4	9	0000000000000000000000000010000010000000000000	Group 9	2				1	0.00	0.00	2		2			
H2803	805	0	1	02	01	H2803_805_0	4	6	0000000000000100000000000000000000000000000000	Group 6	1	25	25	2	1	7.00	7.00	2		2			
H2803	805	0	1	02	01	H2803_805_0	4	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H2803	805	0	1	02	01	H2803_805_0	4	8	0000000000000000000000011100000000000000000010	Group 8	1	30	30	2	2			2		2			
H2803	805	0	1	02	01	H2803_805_0	4	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H2931	002	0	1	02	01	H2931_002_0	8	1	0111000000000111100001011110000010001110000010	20% Coinsurance Group	1	20	20	1	2			2		2			
H2931	002	0	1	02	01	H2931_002_0	8	2	0000111111111000011110000000000001111001101101	$35 Group	2				1	35.00	35.00	2		2			
H2931	006	0	1	02	01	H2931_006_0	9	1	0111000000000111100001011110000010001110000010	20% Coinsurance Group	1	20	20	1	2			2		2			
H2931	006	0	1	02	01	H2931_006_0	9	2	0000111111111000011110000000000001111001101101	$35 Group	2				1	35.00	35.00	2		2			
H2961	002	0	1	02	01	H2961_002_0	12	1	0111000000000111100001011110000010001110000010	20% Coinsurance Group	1	20	20	1	2			2		2			
H2961	002	0	1	02	01	H2961_002_0	12	2	0000111111111000011110000000000001111001101101	$35 Group	2				1	35.00	35.00	2		2			
H2961	011	0	1	02	01	H2961_011_0	9	1	0111000000000111100001011110000010001110000010	20% Coinsurance Group	1	20	20	1	2			2		2			
H2961	011	0	1	02	01	H2961_011_0	9	2	0000111111111000011110000000000001111001101101	$35 Group	2				1	35.00	35.00	2		2			
H3107	004	0	1	02	01	H3107_004_0	4	4	0000000000000000000000000000000000000000000111	Group 4	1	0	30	6	2			2		2			
H3107	004	0	1	02	01	H3107_004_0	4	3	0000000010010000000000000000000000000000000000	Group 3	1	50	50	6	2			2		2			
H3107	004	0	1	02	01	H3107_004_0	4	2	1000000000000000000000000000000010000000000000	Group 2	2				1	0.00	0.00	2		2			
H3107	004	0	1	02	01	H3107_004_0	4	1	0000110101100011100000000000000001111111101000	Group 1	1	30	30	6	2			2		2			
H3107	005	0	1	02	01	H3107_005_0	6	3	0000000000000000000000000000000000000000000110	Group 3	1	0	30	6	2			2		2			
H3107	005	0	1	02	01	H3107_005_0	6	4	0000000010010000000000000000000000000000000000	Group 4	1	50	50	6	2			2		2			
H3107	005	0	1	02	01	H3107_005_0	6	2	1000000000000000000000000000000010000000000000	Group 2	2				1	0.00	0.00	2		2			
H3107	005	0	1	02	01	H3107_005_0	6	1	0000110101100011100000000000000001111111101001	Group 1	1	30	30	6	2			2		2			
H3107	008	0	1	02	01	H3107_008_0	2	4	0000000000000000000000000000000000000000000110	Group 4	1	0	30	6	2			2		2			
H3107	008	0	1	02	01	H3107_008_0	2	1	0000110101100011100000000000000001111111101001	Group 1	1	30	30	6	2			2		2			
H3107	008	0	1	02	01	H3107_008_0	2	2	0000000010010000000000000000000000000000000000	Group 2	1	50	50	6	2			2		2			
H3107	008	0	1	02	01	H3107_008_0	2	3	1000000000000000000000000000000010000000000000	Group 3	2				1	0.00	0.00	2		2			
H3154	005	0	1	02	01	H3154_005_0	3	1	1111111111111111111110011110000111111111000111		1	35	35	2	2			2		2			
H3154	006	0	1	02	01	H3154_006_0	7	1	1111111111111111111110011110000111111111000111		1	35	35	2	2			2		2			
H3154	012	0	1	02	01	H3154_012_0	3	1	1111111111111111111110011110000111111111000111		1	35	35	2	2			2		2			
H3154	015	0	1	02	01	H3154_015_0	7	1	1111111111111111111110011110000111111111000111		1	35	35	2	2			2		2			
H3154	801	0	1	02	01	H3154_801_0	3	1	1111111111111111111110011110000111111111000111		1	35	35	2	2			2		2			
H3154	802	0	1	02	01	H3154_802_0	3	1	1111111111111111111110011110000111111111000111		1	35	35	2	2			2		2			
H3154	805	0	1	02	01	H3154_805_0	2	1	1111111111111111111110011110000111111111000111		1	35	35	2	2			2		2			
H3154	807	0	1	02	01	H3154_807_0	2	1	0111111111111111111110011110000111111111000000		1	20	20	2	2			2		2			
H3154	808	0	1	02	01	H3154_808_0	1	1	0111111111111111111110011110000111111111000000		1	20	20	2	2			2		2			
H3154	809	0	1	02	01	H3154_809_0	1	1	0111111111111111111110011110000111111111000000		1	20	20	2	2			2		2			
H3156	021	0	1	02	01	H3156_021_0	3	2	0000000000000000000001000000000000000000000000	Group 2	2				1	50.00	50.00	2		2			
H3156	021	0	1	02	01	H3156_021_0	3	1	0111111111111111111110011110000011111111101101	Group 1	1	30	30	1	2			2		2			
H3156	024	0	1	02	01	H3156_024_0	2	1	0111111111111111111110011110000011111111101101	Group 1	1	30	30	1	2			2		2			
H3156	024	0	1	02	01	H3156_024_0	2	2	0000000000000000000001000000000000000000000000	Group 2	2				1	50.00	50.00	2		2			
H3240	014	0	1	02	01	H3240_014_0	3	1	0000010101010000000000000000000000000000000000	Specialist Physician Services	2				1	40.00	40.00	2		2			
H3240	014	0	1	02	01	H3240_014_0	3	2	0000000000000010100000000000000000000000000000	Diagnostic Imaging	2				1	150.00	150.00	2		2			
H3240	014	0	1	02	01	H3240_014_0	3	3	0000000000000000001000000000000000000000000000	Ambulatory Surgery	2				1	275.00	275.00	2		2			
H3240	015	0	1	02	01	H3240_015_0	3	1	0000010101010000000000000000000000000000000000	Specialist Physician Services	2				1	45.00	45.00	2		2			
H3240	015	0	1	02	01	H3240_015_0	3	2	0000000000000010100000000000000000000000000000	Diagnostic Imaging	2				1	150.00	150.00	2		2			
H3240	015	0	1	02	01	H3240_015_0	3	3	0000000000000000001000000000000000000000000000	Ambulatory Surgery	2				1	275.00	275.00	2		2			
H3327	003	0	1	02	01	H3327_003_0	15	3	0000000100000000000000000000000000000000000000	Specialist	2				1	30.00	30.00	2		2			
H3327	003	0	1	02	01	H3327_003_0	15	2	0000100000000000000000000000000000000000000000	Primary Care	2				1	15.00	15.00	2		2			
H3327	003	0	1	02	01	H3327_003_0	15	1	1111011011111111111100011110000010111111100111	Non-Inpatient	1	10	10	1	2			2		2			
H3327	022	0	1	02	01	H3327_022_0	11	1	1111111111111111111100011110000010111111100111	Non-Inpatient	1	15	15	1	2			2		2			
H3327	023	0	1	02	01	H3327_023_0	14	1	1111111111111111111111011110000010111111100111	Non-Inpatient	1	15	15	1	2			2		2			
H3361	020	0	1	02	01	H3361_020_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H3361	021	0	1	02	01	H3361_021_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H3361	024	0	1	02	01	H3361_024_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H3361	027	0	1	02	01	H3361_027_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H3361	043	0	1	02	01	H3361_043_0	7	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H3361	051	0	1	02	01	H3361_051_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H3361	084	0	1	02	01	H3361_084_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H3361	098	0	1	02	01	H3361_098_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H3361	099	0	1	02	01	H3361_099_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H3361	102	0	1	02	01	H3361_102_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H3361	104	0	1	02	01	H3361_104_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H3361	106	0	1	02	01	H3361_106_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H3361	107	0	1	02	01	H3361_107_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H3361	112	0	1	02	01	H3361_112_0	6	1	0111011111111111111111011110000010111111000000		1	25	25	6	2			2		2			
H3361	113	0	1	02	01	H3361_113_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H3361	115	0	1	02	01	H3361_115_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H3361	117	0	1	02	01	H3361_117_0	6	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H3361	125	0	1	02	01	H3361_125_0	7	1	0111011111111111111111011110000010111111000000		1	20	20	6	2			2		2			
H3361	801	0	1	02	01	H3361_801_0	3	1	0111011111111111111111011110000010111111101111	Group Type 1	1	0	100	6	2			2		2			
H3361	802	0	1	02	01	H3361_802_0	3	1	0111011111111111111111011110000010111111101111	Group Type 1	1	0	100	6	2			2		2			
H3361	803	0	1	02	01	H3361_803_0	3	1	0111011111111111111111011110000010111111101111	Group Type 1	1	0	100	6	2			2		2			
H3361	804	0	1	02	01	H3361_804_0	3	1	0111011111111111111111011110000010111111101111	Group Type 1	1	0	100	6	2			2		2			
H3362	807	0	1	02	01	H3362_807_0	3	1	0110111111111111111111111110000111111111101111	20% Coinsurance	1	20	20	3	2			2		1	135.00		
H3362	817	0	1	02	01	H3362_817_0	3	1	0110111111111111111111111110000111111111101111	20% Coinsurance	1	20	20	3	2			2		1	135.00		
H3362	819	0	1	02	01	H3362_819_0	3	1	0110111111111111111111111110000111111111101111	20% Coinsurance	1	20	20	3	2			2		1	135.00		
H3415	001	0	1	04	01	H3415_001_0	7	2	0001000000000000000000000000000000000000000000	Home Health	2				2			2		2			
H3415	001	0	1	04	01	H3415_001_0	7	1	0110111101101111111111111010000011111111101111	Out of Network Professional Services	1	20	20	2	2			2		2			
H3415	001	0	1	04	01	H3415_001_0	7	3	0000000010010000000000000000000000000000000000	Mental Health/Psychiatric Services	1	50	50	2	2			2		2			
H3415	001	0	1	04	01	H3415_001_0	7	4	0000000000000000000000000100000000000000000000	Diabetes Monitoring Supplies	2				2			2		2			
H3435	001	0	1	37	05	H3435_001_0	4	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H3435	001	0	1	37	05	H3435_001_0	4	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H3435	001	0	1	37	05	H3435_001_0	4	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H3435	002	0	1	37	05	H3435_002_0	2	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H3435	002	0	1	37	05	H3435_002_0	2	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H3435	002	0	1	37	05	H3435_002_0	2	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H3435	003	0	1	37	05	H3435_003_0	4	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H3435	003	0	1	37	05	H3435_003_0	4	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H3435	003	0	1	37	05	H3435_003_0	4	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H3456	001	0	1	02	01	H3456_001_0	4	4	0000000000000000100000000000000000000000000000	Group 4	2				1	20.00	20.00	2		2			
H3456	001	0	1	02	01	H3456_001_0	4	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H3456	001	0	1	02	01	H3456_001_0	4	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H3456	001	0	1	02	01	H3456_001_0	4	1	0100111101101000000010000000000001000000001101	Group 1	2				1	20.00	35.00	2		2			
H3456	001	0	1	02	01	H3456_001_0	4	8	0000000000000000000000000010000010000000000000	Group 8	2				1	0.00	0.00	2		2			
H3456	001	0	1	02	01	H3456_001_0	4	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H3456	001	0	1	02	01	H3456_001_0	4	6	0000000000000111000000000000000000000000000000	Group 6	1	30	30	6	1	7.00	7.00	2		2			
H3456	001	0	1	02	01	H3456_001_0	4	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H3456	020	0	1	02	01	H3456_020_0	3	1	0100011001001000000010000000000000000000001101	Group 1	2				1	35.00	35.00	2		2			
H3456	020	0	1	02	01	H3456_020_0	3	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H3456	020	0	1	02	01	H3456_020_0	3	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H3456	020	0	1	02	01	H3456_020_0	3	4	0000000000100000100000000000000001000000000000	Group 4	2				1	20.00	20.00	2		2			
H3456	020	0	1	02	01	H3456_020_0	3	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H3456	020	0	1	02	01	H3456_020_0	3	6	0000000000000111000000000000000000000000000000	Group 6	1	30	30	6	1	7.00	7.00	2		2			
H3456	020	0	1	02	01	H3456_020_0	3	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H3456	020	0	1	02	01	H3456_020_0	3	8	0000000000000000000000000010000010000000000000	Group 8	2				1	0.00	0.00	2		2			
H3456	020	0	1	02	01	H3456_020_0	3	9	0000100100000000000000000000000000000000000000	Group 9	2				1	20.00	35.00	2		2			
H3528	006	0	1	02	01	H3528_006_0	4	9	0000000000000000000000000000000011111110000000	Preventive Services	2				2			2		2			
H3528	006	0	1	02	01	H3528_006_0	4	8	0000000000000000000010000010000000000000000000	Other Services	2				2			2		2			
H3528	006	0	1	02	01	H3528_006_0	4	7	0000000000000000000000000000000000000001100000	Diabetes Mon, Sup and Nutrition Therapy	1	20	20	2	2			2		2			
H3528	006	0	1	02	01	H3528_006_0	4	6	0000000000000000000000011000000000000000000000	Durable Medical Equipment  Prosthetics	1	20	20	2	2			2		2			
H3528	006	0	1	02	01	H3528_006_0	4	5	0000000000000000000001000000000000000000000000	Ambulance Services	2				1	75.00	75.00	2		2			
H3528	006	0	1	02	01	H3528_006_0	4	12	1000000000000000000000000000000000000000000001	Hearing Services	2				1	25.00	25.00	1	500.00	2		1	2
H3528	006	0	1	02	01	H3528_006_0	4	3	0000000000000111100000000000000000000000000000	Diagnostic Tests, X-Rays,  Lab Services	1	20	20	2	2			2		2			
H3528	006	0	1	02	01	H3528_006_0	4	2	0000110101100000000000000000000000000000000000	Health Care Professional Services	2				1	25.00	25.00	2		2			
H3528	006	0	1	02	01	H3528_006_0	4	1	0100001000001000000000000000000000000000000000	Outpatient Rehabilitation Services	2				1	25.00	25.00	2		2			
H3528	006	0	1	02	01	H3528_006_0	4	10	0000000000000000000000000000000000000000011000	Dental	2				2			1	150.00	2		3	2
H3528	006	0	1	02	01	H3528_006_0	4	11	0000000000000000000000000000000000000000000110	Vision Services	2				1	25.00	25.00	1	100.00	2		3	2
H3528	006	0	1	02	01	H3528_006_0	4	4	0000000000000000011000000000000000000000000000	Oupatient Services  Surgery	1	20	20	2	2			2		2			
H3528	007	0	1	02	01	H3528_007_0	2	1	0100001000001000000000000000000000000000000000	Outpatient Rehabilitation Services	2				1	25.00	25.00	2		2			
H3528	007	0	1	02	01	H3528_007_0	2	12	1000000000000000000000000000000000000000000001	Hearing Services	2				1	25.00	25.00	1	500.00	2		1	2
H3528	007	0	1	02	01	H3528_007_0	2	11	0000000000000000000000000000000000000000000110	Vision Services	2				1	25.00	25.00	1	100.00	2		3	2
H3528	007	0	1	02	01	H3528_007_0	2	10	0000000000000000000000000000000000000000011000	Dental	2				2			1	150.00	2		3	2
H3528	007	0	1	02	01	H3528_007_0	2	9	0000000000000000000000000000000011111110000000	Preventive Services	2				2			2		2			
H3528	007	0	1	02	01	H3528_007_0	2	8	0000000000000000000010000010000000000000000000	Other Services	2				2			2		2			
H3528	007	0	1	02	01	H3528_007_0	2	7	0000000000000000000000000000000000000001100000	Diabetes Mon, Sup and Nutrition Therapy	1	20	20	2	2			2		2			
H3528	007	0	1	02	01	H3528_007_0	2	6	0000000000000000000000011000000000000000000000	Durable Medical Equipment  Prosthetics	1	20	20	2	2			2		2			
H3528	007	0	1	02	01	H3528_007_0	2	5	0000000000000000000001000000000000000000000000	Ambulance Services	2				1	75.00	75.00	2		2			
H3528	007	0	1	02	01	H3528_007_0	2	4	0000000000000000011000000000000000000000000000	Oupatient Services  Surgery	1	20	20	2	2			2		2			
H3528	007	0	1	02	01	H3528_007_0	2	2	0000110101100000000000000000000000000000000000	Health Care Professional Services	2				1	25.00	25.00	2		2			
H3528	007	0	1	02	01	H3528_007_0	2	3	0000000000000111100000000000000000000000000000	Diagnostic Tests, X-Rays,  Lab Services	1	20	20	2	2			2		2			
H3528	806	0	1	02	01	H3528_806_0	3	1	0100111101101111111011011110000011111111101111	POS	1	20	20	2	2			2		2			
H3528	807	0	1	02	01	H3528_807_0	3	1	0100111101101111111011011110000011111111101111	POS	1	20	20	2	2			2		2			
H3659	001	0	1	02	01	H3659_001_0	4	1	0100111101101000000010000000000001000000001101	Group 1	2				1	25.00	38.00	2		2			
H3659	001	0	1	02	01	H3659_001_0	4	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H3659	001	0	1	02	01	H3659_001_0	4	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H3659	001	0	1	02	01	H3659_001_0	4	4	0000000010010000000100000000000000000000000000	Group 4	2				1	35.00	45.00	2		2			
H3659	001	0	1	02	01	H3659_001_0	4	8	1000000000000000000000000010000010000000000000	Group 8	2				2			2		2			
H3659	001	0	1	02	01	H3659_001_0	4	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H3659	001	0	1	02	01	H3659_001_0	4	6	0000000000000000100000000000000000000000000000	Group 6	2				1	20.00	20.00	2		2			
H3659	001	0	1	02	01	H3659_001_0	4	5	0000000000000111000000000000000000000000000000	Group 5	1	30	30	6	1	7.00	7.00	2		2			
H3660	028	0	1	02	01	H3660_028_0	7	5	0000000000000000000000011100000000000000000000	Group 5 30% Coinsurance	1	30	30	1	2			2		2			
H3660	028	0	1	02	01	H3660_028_0	7	4	0110011111011000000110000000000000000000000101	Group 4 $40 Copay	2				1	40.00	40.00	2		2			
H3660	028	0	1	02	01	H3660_028_0	7	3	0000100000000000000000000000000011111111100000	Group 3 $15 Copay	2				1	15.00	15.00	2		2			
H3660	028	0	1	02	01	H3660_028_0	7	1	0000000000000000000001000000000000000000000000	Group 1 $75 copay	2				1	0.00	75.00	2		2			
H3660	028	0	1	02	01	H3660_028_0	7	2	0001000000000111111000000000000000000000000000	Group 2 20% Coinsurance	1	20	20	1	2			2		2			
H3660	029	0	1	02	01	H3660_029_0	8	3	0110011111011000000110000000000000000000000101	Group 3 -$45 Copay	2				1	45.00	45.00	2		2			
H3660	029	0	1	02	01	H3660_029_0	8	4	0000000000000000000000011100000000000000000000	Group 4 -30% Coinsurance	1	30	30	1	2			2		2			
H3660	029	0	1	02	01	H3660_029_0	8	1	0001000000000111111000000000000000000000000000	Group 1- 20% Coinsurance	1	20	20	1	2			2		2			
H3660	029	0	1	02	01	H3660_029_0	8	2	0000100000000000000000000000000011111111100000	Group 2- $15 Copayment	2				1	15.00	15.00	2		2			
H3660	029	0	1	02	01	H3660_029_0	8	5	0000000000000000001000000000000000000000000000	Group 5- $75	2				1	0.00	75.00	2		2			
H3660	032	0	1	02	01	H3660_032_0	7	1	0000100000000000000000000000000011111111100000	Group 1- $15 Copay	2				1	15.00	15.00	2		2			
H3660	032	0	1	02	01	H3660_032_0	7	2	0110011111011000000110000000000000000000000101	Group 2 - Specialist - $35 Copay	2				1	35.00	35.00	2		2			
H3660	032	0	1	02	01	H3660_032_0	7	5	0001000000000111100000011100000000000000000000	Group 5 20% Coinsurance	1	20	20	1	2			2		2			
H3660	032	0	1	02	01	H3660_032_0	7	3	0000000000000000011000000000000000000000000000	Group 3 $150 Copay	2				1	150.00	150.00	2		2			
H3660	032	0	1	02	01	H3660_032_0	7	4	0000000000000000000001000000000000000000000000	Group 4 - $75 Copay	2				1	0.00	75.00	2		2			
H3660	805	0	1	02	01	H3660_805_0	4	3	0000100000000000000000000000000011111111100000	Group 3 PCP $35	2				1	35.00	35.00	2		2			
H3660	805	0	1	02	01	H3660_805_0	4	5	0000000000000000000000011100000000000000000000	Group 5 30% Coinsurance	1	30	30	1	2			2		2			
H3660	805	0	1	02	01	H3660_805_0	4	4	0110011111011000000110000000000000000000000101	Group 4 Specialist $55	2				1	55.00	55.00	2		2			
H3660	805	0	1	02	01	H3660_805_0	4	1	0000000000000000000001000000000000000000000000	Group I- $75 Copay	2				1	75.00	75.00	2		2			
H3660	805	0	1	02	01	H3660_805_0	4	2	0001000000000111001100000000000000000000000000	Group 2 20% HHS OCDT Lab	1	20	20	1	2			2		2			
H3660	806	0	1	02	01	H3660_806_0	3	5	0000000000000000000000011100000000000000000000	Group 5 30% Coinsurance	1	30	30	1	2			2		2			
H3660	806	0	1	02	01	H3660_806_0	3	4	0110011111011000000110000000000000000000000101	Group 4 Specialist $55	2				1	55.00	55.00	2		2			
H3660	806	0	1	02	01	H3660_806_0	3	3	0000100000000000000000000000000011111111100000	Group 3 PCP $35	2				1	35.00	35.00	2		2			
H3660	806	0	1	02	01	H3660_806_0	3	2	0001000000000111001100000000000000000000000000	Group 2 20% HHS OCDT Lab	1	20	20	1	2			2		2			
H3660	806	0	1	02	01	H3660_806_0	3	1	0000000000000000000001000000000000000000000000	Group I- $75 Copay	2				1	75.00	75.00	2		2			
H3664	001	0	1	02	01	H3664_001_0	5	1	1000000000000000000000000000000000000000010010	Dental, Hearing Aids, Eye Wear	2				2			1	125.00	2		3	1
H3664	011	0	1	02	01	H3664_011_0	6	1	1000000000000000000000000000000000000000010010	Dental, Hearing Aids, Eye Wear	2				2			1	125.00	2		3	1
H3664	012	0	1	02	01	H3664_012_0	5	1	1000000000000000000000000000000000000000010010	Dental, Hearing Aids, Eye Wear	2				2			1	125.00	2		3	1
H3664	014	0	1	02	01	H3664_014_0	2	1	1000000000000000000000000000000000000000010010	Dental, Hearing Aids, Eye Wear	2				2			1	125.00	2		3	1
H3664	016	0	1	02	01	H3664_016_0	6	1	1000000000000000000000000000000000000000010010	Dental, Hearing Aids, Eye Wear	2				2			1	125.00	2		3	1
H3814	015	0	1	02	01	H3814_015_0	8	1	0000000000000000011000000000000000000000000000	OUTPATIENT	2				1	200.00	200.00	2		2			
H3814	015	0	1	02	01	H3814_015_0	8	2	0110111111111000000110000000000000000000000000	PROFESSIONAL SERVICES	2				1	20.00	20.00	2		2			
H3814	015	0	1	02	01	H3814_015_0	8	3	0000000000000000000000011000000000000000000000	DURABLE MEDICAL EQUIPMENT	1	25	25	1	2			2		2			
H3814	015	0	1	02	01	H3814_015_0	8	4	0000000000000000000000000000000000000000000001	ROUTINE BENEFITS	2				1	20.00	20.00	2		2			
H3814	015	0	1	02	01	H3814_015_0	8	5	0000000000000000000000000100000000000001100000	DIABETIC SERVICES	2				1	0.00	0.00	2		2			
H3814	015	0	1	02	01	H3814_015_0	8	6	0001000000000111100000000010000111111111100000	PHYSICALS, PREVENTATIVE, DIAGNOSTIC	2				1	0.00	0.00	2		2			
H3814	016	0	1	02	01	H3814_016_0	9	1	0000000000000000011000000000000000000000000000	OUTPATIENT	2				1	200.00	200.00	2		2			
H3814	016	0	1	02	01	H3814_016_0	9	2	0110111111111000000110000000000000000000000000	PROFESSIONAL SERVICES	2				1	20.00	20.00	2		2			
H3814	016	0	1	02	01	H3814_016_0	9	3	0000000000000000000000011000000000000000000000	DURABLE MEDICAL EQUIPMENT	1	25	25	1	2			2		2			
H3814	016	0	1	02	01	H3814_016_0	9	4	0000000000000000000000000000000000000000000001	ROUTINE BENEFITS	2				1	20.00	20.00	2		2			
H3814	016	0	1	02	01	H3814_016_0	9	5	0000000000000000000000000100000000000001100000	DIABETIC SERVICES	2				1	0.00	0.00	2		2			
H3814	016	0	1	02	01	H3814_016_0	9	6	0001000000000111100000000010000111111111100000	PHYSICALS, PREVENTATIVE, DIAGNOSTIC	2				1	0.00	0.00	2		2			
H3814	021	0	1	02	01	H3814_021_0	8	3	0000000000000000000000011000000000000000000000	DURABLE MEDICAL EQUIPMENT	1	25	25	1	2			2		2			
H3814	021	0	1	02	01	H3814_021_0	8	4	0000000000000000000000000000000000000000000001	ROUTINE BENEFITS	2				1	20.00	20.00	2		2			
H3814	021	0	1	02	01	H3814_021_0	8	5	0000000000000000000000000100000000000001100000	DIABETIC SERVICES	2				1	0.00	0.00	2		2			
H3814	021	0	1	02	01	H3814_021_0	8	6	0001000000000111100000000010000111111111100000	PHYSICALS, PREVENTATIVE, DIAGNOSTIC	2				1	0.00	0.00	2		2			
H3814	021	0	1	02	01	H3814_021_0	8	1	0000000000000000011000000000000000000000000000	OUTPATIENT	2				1	200.00	200.00	2		2			
H3814	021	0	1	02	01	H3814_021_0	8	2	0110111111111000000110000000000000000000000000	PROFESSIONAL SERVICES	2				1	20.00	20.00	2		2			
H3864	007	0	1	02	01	H3864_007_0	7	1	0000100110000100000000000000000000000000000000	Physician office visits and diagnostics	1	10	10	6	2			2		2			
H3887	001	0	1	02	01	H3887_001_0	7	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H3887	001	0	1	02	01	H3887_001_0	7	2	0000100000000000000000000000000000000000000000	Group 2	1	20	30	6	2			2		2			
H3887	001	0	1	02	01	H3887_001_0	7	1	0111011111111111111111111110100111111111101101	Group 1	1	30	30	6	2			2		2			
H3887	002	0	1	02	01	H3887_002_0	6	2	0000100000000000000000000000000000000000000000	Group 2	1	20	30	6	2			2		2			
H3887	002	0	1	02	01	H3887_002_0	6	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H3887	002	0	1	02	01	H3887_002_0	6	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H3887	003	0	1	02	01	H3887_003_0	4	8	0000000000000000000000000010000010000000000000	Group 8	2				2			2		2			
H3887	003	0	1	02	01	H3887_003_0	4	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H3887	003	0	1	02	01	H3887_003_0	4	6	0000000000000111000000000000000000000000000000	Group 6	1	30	30	2	1	7.00	7.00	2		2			
H3887	003	0	1	02	01	H3887_003_0	4	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H3887	003	0	1	02	01	H3887_003_0	4	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	2	2			2		2			
H3887	003	0	1	02	01	H3887_003_0	4	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H3887	003	0	1	02	01	H3887_003_0	4	1	0100111101101000000010000000000001000000001101	Group 1	2				1	20.00	40.00	2		2			
H3887	003	0	1	02	01	H3887_003_0	4	4	0000000000000000100000000000000000000000000000	Group 4	2				1	20.00	20.00	2		2			
H3887	004	0	1	02	01	H3887_004_0	3	8	0000000000000000000000000010000010000000000000	Group 8	2				1	0.00	0.00	2		2			
H3887	004	0	1	02	01	H3887_004_0	3	1	0100111101101000000010000000000001000000001101	Group 1	2				1	15.00	40.00	2		2			
H3887	004	0	1	02	01	H3887_004_0	3	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H3887	004	0	1	02	01	H3887_004_0	3	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	2	2			2		2			
H3887	004	0	1	02	01	H3887_004_0	3	4	0000000000000000100000000000000000000000000000	Group 4	2				1	20.00	20.00	2		2			
H3887	004	0	1	02	01	H3887_004_0	3	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H3887	004	0	1	02	01	H3887_004_0	3	6	0000000000000111000000000000000000000000000000	Group 6	1	30	30	2	1	7.00	7.00	2		2			
H3887	004	0	1	02	01	H3887_004_0	3	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H3887	005	0	1	02	01	H3887_005_0	3	1	0111011111111111111111111110100111111111100101	Group 1	1	30	30	6	2			2		2			
H3887	005	0	1	02	01	H3887_005_0	3	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	25.00	2		2			
H3887	005	0	1	02	01	H3887_005_0	3	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H3887	801	0	1	02	01	H3887_801_0	2	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H3887	801	0	1	02	01	H3887_801_0	2	6	0000000000000100000000000000000000000000000000	Group 6	1	40	40	2	1	7.00	7.00	2		2			
H3887	801	0	1	02	01	H3887_801_0	2	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H3887	801	0	1	02	01	H3887_801_0	2	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H3887	801	0	1	02	01	H3887_801_0	2	9	0000000000000000000000011100000000000000000010	Group 9	1	30	30	2	2			2		2			
H3887	801	0	1	02	01	H3887_801_0	2	10	0000000000000000000000000010000010000000000000	Group 10	2				2			2		2			
H3887	801	0	1	02	01	H3887_801_0	2	4	0000100000100000000000000000000001000000000000	Group 4	2				1	25.00	25.00	2		2			
H3887	801	0	1	02	01	H3887_801_0	2	3	0001000000000011011000000000100000111111100000	Group 3	1	40	40	2	2			2		2			
H3887	801	0	1	02	01	H3887_801_0	2	1	0100011101001000000010000000000000000000001101	Group 1	2				1	35.00	35.00	2		2			
H3887	801	0	1	02	01	H3887_801_0	2	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H3887	802	0	1	02	01	H3887_802_0	2	4	0000100000100000000000000000000001000000000000	Group 4	2				1	25.00	25.00	2		2			
H3887	802	0	1	02	01	H3887_802_0	2	3	0001000000000011011000000000100000111111100000	Group 3	1	40	40	2	2			2		2			
H3887	802	0	1	02	01	H3887_802_0	2	6	0000000000000100000000000000000000000000000000	Group 6	1	0	40	2	1	0.00	7.00	2		2			
H3887	802	0	1	02	01	H3887_802_0	2	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H3887	802	0	1	02	01	H3887_802_0	2	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H3887	802	0	1	02	01	H3887_802_0	2	9	0000000000000000000000011100000000000000000010	Group 9	1	30	30	2	2			2		2			
H3887	802	0	1	02	01	H3887_802_0	2	10	0000000000000000000000000010000010000000000000	Group 10	2				2			2		2			
H3887	802	0	1	02	01	H3887_802_0	2	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H3887	802	0	1	02	01	H3887_802_0	2	1	0100011101001000000010000000000000000000001101	Group 1	2				1	35.00	35.00	2		2			
H3887	802	0	1	02	01	H3887_802_0	2	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H3887	803	0	1	02	01	H3887_803_0	2	4	0000100000100000000000000000000001000000000000	Group 4	2				1	25.00	25.00	2		2			
H3887	803	0	1	02	01	H3887_803_0	2	1	0100011101001000000010000000000000000000001101	Group 1	2				1	35.00	35.00	2		2			
H3887	803	0	1	02	01	H3887_803_0	2	6	0000000000000100000000000000000000000000000000	Group 6	1	0	40	2	1	0.00	7.00	2		2			
H3887	803	0	1	02	01	H3887_803_0	2	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H3887	803	0	1	02	01	H3887_803_0	2	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H3887	803	0	1	02	01	H3887_803_0	2	9	0000000000000000000000011100000000000000000010	Group 9	1	30	30	2	2			2		2			
H3887	803	0	1	02	01	H3887_803_0	2	10	0000000000000000000000000010000010000000000000	Group 10	2				2			2		2			
H3887	803	0	1	02	01	H3887_803_0	2	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H3887	803	0	1	02	01	H3887_803_0	2	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H3887	803	0	1	02	01	H3887_803_0	2	3	0001000000000011011000000000100000111111100000	Group 3	1	40	40	2	2			2		2			
H3887	804	0	1	02	01	H3887_804_0	2	4	0000100000100000000000000000000001000000000000	Group 4	2				1	25.00	25.00	2		2			
H3887	804	0	1	02	01	H3887_804_0	2	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H3887	804	0	1	02	01	H3887_804_0	2	6	0000000000000100000000000000000000000000000000	Group 6	1	0	40	2	1	0.00	7.00	2		2			
H3887	804	0	1	02	01	H3887_804_0	2	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H3887	804	0	1	02	01	H3887_804_0	2	1	0100011101001000000010000000000000000000001101	Group 1	2				1	35.00	35.00	2		2			
H3887	804	0	1	02	01	H3887_804_0	2	9	0000000000000000000000011100000000000000000010	Group 9	1	30	30	2	2			2		2			
H3887	804	0	1	02	01	H3887_804_0	2	10	0000000000000000000000000010000010000000000000	Group 10	2				2			2		2			
H3887	804	0	1	02	01	H3887_804_0	2	3	0001000000000011011000000000100000111111100000	Group 3	1	40	40	2	2			2		2			
H3887	804	0	1	02	01	H3887_804_0	2	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H3887	804	0	1	02	01	H3887_804_0	2	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H3949	015	0	1	02	01	H3949_015_0	2	1	0001111100001111111001000010000011111111100000	Group 1	1	20	20	2	2			2		2			
H4270	001	0	1	02	01	H4270_001_0	2	1	0111101111111111111111011110000011111111100101	All Other POS Benefits	1	20	20	3	2			2		2			
H4270	002	0	1	02	01	H4270_002_0	5	1	0111101111111111111111011110000011111111100101	All Other POS Benefits	1	20	20	3	2			2		2			
H4270	003	0	1	02	01	H4270_003_0	5	1	0111101111111111111111011110000011111111100101	All Other POS Benefits	1	20	20	3	2			2		2			
H4270	801	0	1	02	01	H4270_801_0	2	1	0111101111111111111111011110000011111111100101	All Other POS Benefits	1	20	20	3	2			2		2			
H4270	802	0	1	02	01	H4270_802_0	2	1	0111101111111111111111011110000011111111100101	All Other POS Benefits	1	20	20	3	2			2		2			
H4406	001	0	1	02	01	H4406_001_0	7	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H4406	001	0	1	02	01	H4406_001_0	7	8	1000000000000000000000000010000010000000000000	Group 8	2				2			2		2			
H4406	001	0	1	02	01	H4406_001_0	7	6	0000000000000100000000000000000000000000000000	Group 6	1	30	30	6	1	7.00	7.00	2		2			
H4406	001	0	1	02	01	H4406_001_0	7	4	0000000000000000100000000000000000000000000000	Group 4	2				1	20.00	20.00	2		2			
H4406	001	0	1	02	01	H4406_001_0	7	3	0001000000000011011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H4406	001	0	1	02	01	H4406_001_0	7	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H4406	001	0	1	02	01	H4406_001_0	7	1	0100111101101000000010000000000001000000001101	Group 1	2				1	20.00	40.00	2		2			
H4406	001	0	1	02	01	H4406_001_0	7	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H4456	024	0	1	02	01	H4456_024_0	5	1	0111011111111111111111111110100111111111101101	Group 1	1	30	30	6	2			2		2			
H4456	024	0	1	02	01	H4456_024_0	5	2	0000100000000000000000000000000000000000000000	Group 2	1	20	30	6	2			2		2			
H4456	024	0	1	02	01	H4456_024_0	5	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H4456	026	0	1	02	01	H4456_026_0	6	1	0100111101101000000010000000000001000000001101	Group 1	2				1	15.00	25.00	2		2			
H4456	026	0	1	02	01	H4456_026_0	6	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H4456	026	0	1	02	01	H4456_026_0	6	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H4456	026	0	1	02	01	H4456_026_0	6	4	0000000010010000000100000000000000000000000000	Group 4	2				1	35.00	45.00	2		2			
H4456	026	0	1	02	01	H4456_026_0	6	5	0000000000000111000000000000000000000000000000	Group 5	1	30	30	6	1	7.00	7.00	2		2			
H4456	026	0	1	02	01	H4456_026_0	6	6	0000000000000000100000000000000000000000000000	Group 6	2				1	20.00	20.00	2		2			
H4456	026	0	1	02	01	H4456_026_0	6	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H4456	026	0	1	02	01	H4456_026_0	6	8	0000000000000000000000000010000110000000000000	Group 8	2				1	0.00	0.00	2		2			
H4456	027	0	1	02	01	H4456_027_0	3	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H4456	027	0	1	02	01	H4456_027_0	3	9	0000000000000111000000000000000000000000000000	Group 9	1	0	30	6	2			2		2			
H4456	027	0	1	02	01	H4456_027_0	3	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H4456	027	0	1	02	01	H4456_027_0	3	1	0100111101101000000010000000000001000000001101	Group 1	2				1	20.00	25.00	2		2			
H4456	027	0	1	02	01	H4456_027_0	3	3	0001000000000000000000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H4456	027	0	1	02	01	H4456_027_0	3	6	0000000000000000000000000010000010000000000000	Group 6	2				2			2		2			
H4456	027	0	1	02	01	H4456_027_0	3	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H4456	027	0	1	02	01	H4456_027_0	3	4	0000000000000000100000000000000000000000000000	Group 4	2				1	20.00	20.00	2		2			
H4456	027	0	1	02	01	H4456_027_0	3	7	0000000000000000011000000000000000000000000000	Group 7	2				1	225.00	225.00	2		2			
H4456	028	0	1	02	01	H4456_028_0	3	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H4456	028	0	1	02	01	H4456_028_0	3	9	0000000000000111000000000000000000000000000000	Group 9	1	0	30	6	2			2		2			
H4456	028	0	1	02	01	H4456_028_0	3	7	0000000000000000011000000000000000000000000000	Group 7	2				1	225.00	225.00	2		2			
H4456	028	0	1	02	01	H4456_028_0	3	10	0000100100100000000000000000000001000000000000	Group 10	2				1	20.00	25.00	2		2			
H4456	028	0	1	02	01	H4456_028_0	3	6	0000000000000000000000000010000010000000000000	Group 6	2				2			2		2			
H4456	028	0	1	02	01	H4456_028_0	3	1	0100011001001000000010000000000000000000001101	Group 1	2				1	25.00	25.00	2		2			
H4456	028	0	1	02	01	H4456_028_0	3	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H4456	028	0	1	02	01	H4456_028_0	3	3	0001000000000000000000011100000000111111100010	Group 3	1	30	30	6	2			2		2			
H4456	028	0	1	02	01	H4456_028_0	3	4	0000000000000000100000000000000000000000000000	Group 4	2				1	20.00	20.00	2		2			
H4456	028	0	1	02	01	H4456_028_0	3	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H4528	001	0	1	02	01	H4528_001_0	2	1	0001111100001111111001000010000011111111100000	Group 1	1	20	20	2	2			2		2			
H4528	005	0	1	02	01	H4528_005_0	2	1	0001111100001111111001000010000011111111100000	Group 1	1	20	20	2	2			2		2			
H4604	003	0	1	02	01	H4604_003_0	3	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H4604	003	0	1	02	01	H4604_003_0	3	8	0000000000000000000000000010000010000000000000	Group 8	2				1	0.00	0.00	2		2			
H4604	003	0	1	02	01	H4604_003_0	3	4	0000000000000000100000000000000000000000000000	Group 4	2				1	20.00	20.00	2		2			
H4604	003	0	1	02	01	H4604_003_0	3	6	0000000000000111000000000000000000000000000000	Group 6	1	30	30	6	1	7.00	7.00	2		2			
H4604	003	0	1	02	01	H4604_003_0	3	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H4604	003	0	1	02	01	H4604_003_0	3	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H4604	003	0	1	02	01	H4604_003_0	3	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H4604	003	0	1	02	01	H4604_003_0	3	1	0100111101101000000010000000000001000000001101	Group 1	2				1	20.00	35.00	2		2			
H4604	005	0	1	02	01	H4604_005_0	3	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H4604	005	0	1	02	01	H4604_005_0	3	8	0000000000000000000000000010000010000000000000	Group 8	2				1	0.00	0.00	2		2			
H4604	005	0	1	02	01	H4604_005_0	3	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H4604	005	0	1	02	01	H4604_005_0	3	6	0000000000000111000000000000000000000000000000	Group 6	1	30	30	6	1	7.00	7.00	2		2			
H4604	005	0	1	02	01	H4604_005_0	3	4	0000000000000000100000000000000000000000000000	Group 4	2				1	20.00	20.00	2		2			
H4604	005	0	1	02	01	H4604_005_0	3	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H4604	005	0	1	02	01	H4604_005_0	3	1	0100111101101000000010000000000001000000001101	Group 1	2				1	20.00	35.00	2		2			
H4604	005	0	1	02	01	H4604_005_0	3	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H4604	006	0	1	02	01	H4604_006_0	3	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H4604	006	0	1	02	01	H4604_006_0	3	2	0000100000000000000000000000000000000000000000	Group 2	1	20	30	6	2			2		2			
H4604	006	0	1	02	01	H4604_006_0	3	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H4604	007	0	1	02	01	H4604_007_0	3	1	0111011111111111111111111110100111111111101101	Group 1	1	30	30	6	2			2		2			
H4604	007	0	1	02	01	H4604_007_0	3	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	35.00	2		2			
H4604	007	0	1	02	01	H4604_007_0	3	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H4604	008	0	1	02	01	H4604_008_0	3	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H4604	008	0	1	02	01	H4604_008_0	3	1	0111011111111111111111111110100111111111100101	Group 1	1	30	30	6	2			2		2			
H4604	008	0	1	02	01	H4604_008_0	3	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	25.00	2		2			
H4604	009	0	1	02	01	H4604_009_0	3	8	0000000000000000000000000010000010000000000000	Group 8	2				1	0.00	0.00	2		2			
H4604	009	0	1	02	01	H4604_009_0	3	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H4604	009	0	1	02	01	H4604_009_0	3	6	0000000000000111000000000000000000000000000000	Group 6	1	30	30	6	1	7.00	7.00	2		2			
H4604	009	0	1	02	01	H4604_009_0	3	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H4604	009	0	1	02	01	H4604_009_0	3	4	0000000000000000100000000000000000000000000000	Group 4	2				1	20.00	20.00	2		2			
H4604	009	0	1	02	01	H4604_009_0	3	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H4604	009	0	1	02	01	H4604_009_0	3	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H4604	009	0	1	02	01	H4604_009_0	3	1	0100111101101000000010000000000001000000001101	Group 1	2				1	20.00	35.00	2		2			
H4779	001	0	1	37	05	H4779_001_0	4	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H4779	001	0	1	37	05	H4779_001_0	4	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H4779	001	0	1	37	05	H4779_001_0	4	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H4779	002	0	1	37	05	H4779_002_0	2	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H4779	002	0	1	37	05	H4779_002_0	2	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H4779	002	0	1	37	05	H4779_002_0	2	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H4779	003	0	1	37	05	H4779_003_0	5	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H4779	003	0	1	37	05	H4779_003_0	5	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H4779	003	0	1	37	05	H4779_003_0	5	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H4971	001	0	1	02	01	H4971_001_0	5	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H4971	001	0	1	02	01	H4971_001_0	5	6	0000000000000111000000000000000000000000000000	Group 6	1	30	30	3	1	7.00	7.00	2		2			
H4971	001	0	1	02	01	H4971_001_0	5	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H4971	001	0	1	02	01	H4971_001_0	5	8	0000000000000000000000000010000010000000000000	Group 8	2				2			2		2			
H4971	001	0	1	02	01	H4971_001_0	5	1	0100111101101000000010000000000001000000001101	Group 1	2				1	20.00	30.00	2		2			
H4971	001	0	1	02	01	H4971_001_0	5	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H4971	001	0	1	02	01	H4971_001_0	5	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H4971	001	0	1	02	01	H4971_001_0	5	4	0000000000000000100000000000000000000000000000	Group 4	2				1	20.00	20.00	2		2			
H4971	801	0	1	02	01	H4971_801_0	2	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150	150	2		2			
H4971	801	0	1	02	01	H4971_801_0	2	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20	20	2		2			
H4971	801	0	1	02	01	H4971_801_0	2	6	0000000000000100000000000000000000000000000000	Group 6	1	30	30	2	1	7	7	2		2			
H4971	801	0	1	02	01	H4971_801_0	2	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35	45	2		2			
H4971	801	0	1	02	01	H4971_801_0	2	9	0000000000000000000000000010000010000000000000	Group 9	2				1	0	0	2		2			
H4971	801	0	1	02	01	H4971_801_0	2	3	0001000000000011011000011100100000111111100010	Group 3	1	30	30	2	2			2		2			
H4971	801	0	1	02	01	H4971_801_0	2	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75	75	2		2			
H4971	801	0	1	02	01	H4971_801_0	2	1	0100011101001000000010000000000000000000001101	Group 1	2				1	30	30	2		2			
H4971	801	0	1	02	01	H4971_801_0	2	4	0000100000100000000000000000000001000000000000	Group 4	2				1	25	25	2		2			
H4971	802	0	1	02	01	H4971_802_0	2	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150	150	2		2			
H4971	802	0	1	02	01	H4971_802_0	2	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20	20	2		2			
H4971	802	0	1	02	01	H4971_802_0	2	6	0000000000000100000000000000000000000000000000	Group 6	1	30	30	2	1	7	7	2		2			
H4971	802	0	1	02	01	H4971_802_0	2	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35	45	2		2			
H4971	802	0	1	02	01	H4971_802_0	2	4	0000100000100000000000000000000001000000000000	Group 4	2				1	25	25	2		2			
H4971	802	0	1	02	01	H4971_802_0	2	3	0001000000000011011000011100100000111111100010	Group 3	1	30	30	2	2			2		2			
H4971	802	0	1	02	01	H4971_802_0	2	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75	75	2		2			
H4971	802	0	1	02	01	H4971_802_0	2	1	0100011101001000000010000000000000000000001101	Group 1	2				1	30	30	2		2			
H4971	802	0	1	02	01	H4971_802_0	2	9	0000000000000000000000000010000010000000000000	Group 9	2				1	0	0	2		2			
H4971	803	0	1	02	01	H4971_803_0	2	1	0100011101001000000010000000000000000000001101	Group 1	2				1	30	30	2		2			
H4971	803	0	1	02	01	H4971_803_0	2	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75	75	2		2			
H4971	803	0	1	02	01	H4971_803_0	2	9	0000000000000000000000000010000010000000000000	Group 9	2				1	0	0	2		2			
H4971	803	0	1	02	01	H4971_803_0	2	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150	150	2		2			
H4971	803	0	1	02	01	H4971_803_0	2	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20	20	2		2			
H4971	803	0	1	02	01	H4971_803_0	2	6	0000000000000100000000000000000000000000000000	Group 6	1	30	30	2	1	7	7	2		2			
H4971	803	0	1	02	01	H4971_803_0	2	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35	45	2		2			
H4971	803	0	1	02	01	H4971_803_0	2	4	0000100000100000000000000000000001000000000000	Group 4	2				1	25	25	2		2			
H4971	803	0	1	02	01	H4971_803_0	2	3	0001000000000011011000011100100000111111100010	Group 3	1	30	30	2	2			2		2			
H4971	804	0	1	02	01	H4971_804_0	2	1	0100011101001000000010000000000000000000001101	Group 1	2				1	30	30	2		2			
H4971	804	0	1	02	01	H4971_804_0	2	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150	150	2		2			
H4971	804	0	1	02	01	H4971_804_0	2	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20	20	2		2			
H4971	804	0	1	02	01	H4971_804_0	2	6	0000000000000100000000000000000000000000000000	Group 6	1	30	30	2	1	7	7	2		2			
H4971	804	0	1	02	01	H4971_804_0	2	9	0000000000000000000000000010000010000000000000	Group 9	2				1	0	0	2		2			
H4971	804	0	1	02	01	H4971_804_0	2	4	0000100000100000000000000000000001000000000000	Group 4	2				1	25	25	2		2			
H4971	804	0	1	02	01	H4971_804_0	2	3	0001000000000011011000011100100000111111100010	Group 3	1	30	30	2	2			2		2			
H4971	804	0	1	02	01	H4971_804_0	2	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75	75	2		2			
H4971	804	0	1	02	01	H4971_804_0	2	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35	45	2		2			
H5031	001	0	1	04	01	H5031_001_0	6	1	0110111101101111111111111110000011111111101111	Out of Network Professional Services	1	20	20	2	2			2		2			
H5031	001	0	1	04	01	H5031_001_0	6	2	0001000000000000000000000000000000000000000000	Home Health	2				2			2		2			
H5031	001	0	1	04	01	H5031_001_0	6	3	0000000010010000000000000000000000000000000000	Mental Health/Psychiatric Services	1	50	50	2	2			2		2			
H5211	001	0	1	02	01	H5211_001_0	7	1	0010110111110000000100000000000000000000000101	$15 Copay	1	20	20	1	1	15.00	15.00	2		2			
H5211	001	0	1	02	01	H5211_001_0	7	2	0101001000001111111010011110000111111111100010	No Copay	1	20	20	1	2			2		2			
H5211	002	0	1	02	01	H5211_002_0	9	2	0000000000000000011000000000000000000000000000	$0 to $50 Copay	1	20	20	1	1	0.00	50.00	2		2			
H5211	002	0	1	02	01	H5211_002_0	9	3	0101001000001111100010011110000111111111100010	No Copay	1	20	20	1	2			2		2			
H5211	002	0	1	02	01	H5211_002_0	9	1	0010110111110000000100000000000000000000000101	$20 Copay	1	20	20	1	1	20.00	20.00	2		2			
H5211	003	0	1	02	01	H5211_003_0	8	1	0010110111110000000100000000000000000000000101	$20 Copay	1	20	20	1	1	20.00	20.00	2		2			
H5211	003	0	1	02	01	H5211_003_0	8	2	0000000000000000011000000000000000000000000000	$0-$50 Copay	1	20	20	1	1	0.00	50.00	2		2			
H5211	003	0	1	02	01	H5211_003_0	8	3	0101001000001111100010011110000111111111100010	No Copay	1	20	20	1	2			2		2			
H5211	004	0	1	02	01	H5211_004_0	9	1	0010110111110000000100000000000000000000000101	$15 Copay	1	20	20	1	1	15.00	15.00	2		2			
H5211	004	0	1	02	01	H5211_004_0	9	2	0101001000001111111010011110000111111111100010	No Copay	1	20	20	1	2			2		2			
H5211	005	0	1	02	01	H5211_005_0	8	1	0111111111111111111110011110000111111111100111		1	20	20	1	2			2		2			
H5211	006	0	1	02	01	H5211_006_0	6	1	0111111111111111111110011110000111111111100111		1	20	20	1	2			2		2			
H5253	004	0	1	02	01	H5253_004_0	5	8	0000000000000000000000000010000010000000000000	Group 8	2				2			2		2			
H5253	004	0	1	02	01	H5253_004_0	5	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H5253	004	0	1	02	01	H5253_004_0	5	6	0000000000000111000000000000000000000000000000	Group 6	1	30	30	6	1	7.00	7.00	2		2			
H5253	004	0	1	02	01	H5253_004_0	5	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H5253	004	0	1	02	01	H5253_004_0	5	4	0000000000000000100000000000000000000000000000	Group 4	2				1	20.00	20.00	2		2			
H5253	004	0	1	02	01	H5253_004_0	5	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H5253	004	0	1	02	01	H5253_004_0	5	1	0100111101101000000010000000000001000000001101	Group 1	2				1	20.00	35.00	2		2			
H5253	004	0	1	02	01	H5253_004_0	5	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H5253	007	0	1	02	01	H5253_007_0	9	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H5253	007	0	1	02	01	H5253_007_0	9	1	0111011111111111111111111110100011111111101101	Group 1	1	30	30	6	2			2		2			
H5253	007	0	1	02	01	H5253_007_0	9	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	35.00	2		2			
H5253	007	0	1	02	01	H5253_007_0	9	4	0000000000000000000000000000000100000000000000	Group 4	1	0	30	6	2			2		2			
H5253	011	0	1	02	01	H5253_011_0	5	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H5253	011	0	1	02	01	H5253_011_0	5	4	0000100000100000000000000000000001000000000000	Group 4	2				1	15.00	15.00	2		2			
H5253	011	0	1	02	01	H5253_011_0	5	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H5253	011	0	1	02	01	H5253_011_0	5	1	0100011101001000000010000000000000000000001101	Group 1	2				1	30.00	30.00	2		2			
H5253	011	0	1	02	01	H5253_011_0	5	6	0000000000000111000000000000000000000000000000	Group 6	1	30	30	6	1	7.00	7.00	2		2			
H5253	011	0	1	02	01	H5253_011_0	5	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H5253	011	0	1	02	01	H5253_011_0	5	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H5253	011	0	1	02	01	H5253_011_0	5	9	0000000000000000000000000010000010000000000000	Group 9	2				2			2		2			
H5253	011	0	1	02	01	H5253_011_0	5	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H5253	021	0	1	02	01	H5253_021_0	5	1	0100111101101000000010000000000001000000001101	Group 1	2				1	20.00	35.00	2		2			
H5253	021	0	1	02	01	H5253_021_0	5	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H5253	021	0	1	02	01	H5253_021_0	5	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H5253	021	0	1	02	01	H5253_021_0	5	4	0000000000000000100000000000000000000000000000	Group 4	2				1	20.00	20.00	2		2			
H5253	021	0	1	02	01	H5253_021_0	5	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H5253	021	0	1	02	01	H5253_021_0	5	6	0000000000000111000000000000000000000000000000	Group 6	1	30	30	6	1	7.00	7.00	2		2			
H5253	021	0	1	02	01	H5253_021_0	5	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H5253	021	0	1	02	01	H5253_021_0	5	8	0000000000000000000000000010000010000000000000	Group 8	2				1	0.00	0.00	2		2			
H5253	024	0	1	02	01	H5253_024_0	5	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H5253	024	0	1	02	01	H5253_024_0	5	2	0000100000000000000000000000000000000000000000	Group 2	1	20	30	6	2			2		2			
H5253	024	0	1	02	01	H5253_024_0	5	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H5253	027	0	1	02	01	H5253_027_0	4	1	0111011111111111111111111110100111111111100101	Group 1	1	30	30	6	2			2		2			
H5253	027	0	1	02	01	H5253_027_0	4	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H5253	027	0	1	02	01	H5253_027_0	4	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	25.00	2		2			
H5302	003	0	1	02	01	H5302_003_0	6	4	0000000000000000000000000000000000000000010000	group 4	2				2			2		2			
H5302	003	0	1	02	01	H5302_003_0	6	1	0111111111111111111110011110000011111111101101	Group 1	1	30	30	6	2			2		2			
H5302	003	0	1	02	01	H5302_003_0	6	2	0000000000000000000001000000000000000000000000	Group 2	2				1	100.00	100.00	2		2			
H5302	003	0	1	02	01	H5302_003_0	6	3	1000000000000000000000000001100100000000000011	Group 3	1	100	100	6	2			2		2			
H5302	004	0	1	02	01	H5302_004_0	7	3	1000000000000000000000100001100100000000000011	Group 3	1	100	100	6	2			2		2			
H5302	004	0	1	02	01	H5302_004_0	7	5	0000000000000000000000000000000000000000001000	Group 5	1	50	50	2	2			2		1	50.00		
H5302	004	0	1	02	01	H5302_004_0	7	4	0000000000000000000000000000000000000000010000	Group 4	2				2			2		1	50.00		
H5302	004	0	1	02	01	H5302_004_0	7	2	0000000000000000000001000000000000000000000000	Group 2	2				1	100.00	100.00	2		2			
H5302	004	0	1	02	01	H5302_004_0	7	1	0111111111111111111110011110000011111111101101	Group 1	1	30	30	6	2			2		2			
H5302	809	0	1	02	01	H5302_809_0	4	2	0010000010000000000000000000000000000000000000	Group 2	1	50	50	1	2			2		2			
H5302	809	0	1	02	01	H5302_809_0	4	1	1101111101111111111111111111000111111111111111	group 1	1	20	20	1	2			2		2			
H5302	810	0	1	02	01	H5302_810_0	4	2	0010000010000000000000000000000000000000000000	Group 2	1	50	50	1	2			2		2			
H5302	810	0	1	02	01	H5302_810_0	4	1	1101111101111111111111111111000111111111111111	group 1	1	20	20	1	2			2		2			
H5302	811	0	1	02	01	H5302_811_0	4	1	1101111101111111111111111111000111111111111111	group 1	1	20	20	1	2			2		2			
H5302	811	0	1	02	01	H5302_811_0	4	2	0010000010000000000000000000000000000000000000	Group 2	1	50	50	1	2			2		2			
H5404	086	0	1	02	01	H5404_086_0	10	1	1111111111111111111111011110000111111111111111	POS 1	2				1	0.00	300.00	2		2			
H5416	010	0	1	02	01	H5416_010_0	11	1	0111011111111111111111011110000111111111100000		1	20	20	1	2			1	5000.00	2		3	1
H5426	001	0	1	02	01	H5426_001_0	8	1	0000110101000000011000000000000001111000000000		1	20	20	1	2			2		2			
H5426	002	0	1	02	01	H5426_002_0	8	1	0000110101000000011000000000000001111000000000		1	20	20	1	2			2		2			
H5426	007	0	1	02	01	H5426_007_0	9	1	0000110101000000011000000000000001111000000000		1	30	30	1	2			2		2			
H5426	008	0	1	02	01	H5426_008_0	9	1	0000110101000000011000000000000001111000000000		1	30	30	1	2			2		2			
H5427	052	0	1	02	01	H5427_052_0	7	1	0111100111110011111111011010000010111110000000		1	30	30	6	2			2		2			
H5427	053	0	1	02	01	H5427_053_0	11	1	0111100111110011111111011010000010111110000000		1	30	30	6	2			2		2			
H5427	054	0	1	02	01	H5427_054_0	11	1	0111100111110011111111011010000010111110000000		1	30	30	6	2			2		2			
H5427	056	0	1	02	01	H5427_056_0	11	1	0111100111110011111111011010000010111110000000		1	30	30	6	2			2		2			
H5427	058	0	1	02	01	H5427_058_0	5	1	0111100111110011111111011010000010111110000000		1	30	30	6	2			2		2			
H5427	059	0	1	02	01	H5427_059_0	9	1	0111100111110011111111011010000010111110000000		1	30	30	6	2			2		2			
H5427	060	0	1	02	01	H5427_060_0	9	1	0111100111110011111111011010000010111110000000		1	30	30	6	2			2		2			
H5427	062	0	1	02	01	H5427_062_0	8	1	0111100111110011111111011010000010111110000000		1	30	30	6	2			2		2			
H5427	075	0	1	02	01	H5427_075_0	11	1	0111101111111010111111000010000011111110000000	Group 1	2				1	0.00	350.00	2		2			
H5427	075	0	1	02	01	H5427_075_0	11	2	0000000000000001000000011000000000000000000000	Group 2	1	0	25	6	2			2		2			
H5449	001	0	1	04	01	H5449_001_0	6	4	0000000000000000000000000100000000000000000000	Diabetes Monitoring Supplies	2				2			2		2			
H5449	001	0	1	04	01	H5449_001_0	6	3	0000000010010000000000000000000000000000000000	Mental Health/Psychiatric Services	1	50	50	2	2			2		2			
H5449	001	0	1	04	01	H5449_001_0	6	2	0001000000000000000000000000000000000000000000	Home Health	2				2			2		2			
H5449	001	0	1	04	01	H5449_001_0	6	1	0110111101101111111111111010000011111111101111	Out of Network Professional Services	1	20	20	2	2			2		2			
H5591	001	0	1	02	01	H5591_001_0	11	1	0000111111011000000100000000000000000000000101	Group 1	2				1	20.00	30.00	2		2			
H5591	001	0	1	02	01	H5591_001_0	11	5	0000000000000110100000000000000000000000000000	Group 5	1	0	30	2	2			2		2			
H5591	001	0	1	02	01	H5591_001_0	11	4	0000000000000000000000000010000000000000000000		2				2			2		2			
H5591	001	0	1	02	01	H5591_001_0	11	3	0000000000000001000000011100000000000000000000	Group 3	1	20	30	2	2			2		2			
H5591	001	0	1	02	01	H5591_001_0	11	2	0000000000000000011000000000000000000000000000	Group 2	2				1	125.00	125.00	2		2			
H5594	001	0	1	02	01	H5594_001_0	8	1	0111000111110011111111011010000010111110000000		1	20	20	6	2			2		2			
H5594	002	0	1	02	01	H5594_002_0	8	1	0111000111110011111111011010000010111110000000		1	20	20	6	2			2		2			
H5594	005	0	1	02	01	H5594_005_0	8	1	0111000111110011111111011010000010111110000000		1	20	20	6	2			2		2			
H5594	006	0	1	02	01	H5594_006_0	8	1	0111000111110011111111011010000010111110000000		1	20	20	6	2			2		2			
H5594	007	0	1	02	01	H5594_007_0	9	1	0111000111110011111111011010000010111110000000		1	20	20	6	2			2		2			
H5594	008	0	1	02	01	H5594_008_0	9	1	0111000111110011111111011010000010111110000000		1	20	20	6	2			2		2			
H5594	009	0	1	02	01	H5594_009_0	10	2	0000000000000001000000011000000000000000000000	Group 2	1	0	25	6	2			2		2			
H5594	009	0	1	02	01	H5594_009_0	10	1	0111111111111110111111000010000011111110000000	Group 1	2				1	0.00	350.00	2		2			
H5652	001	0	1	37	05	H5652_001_0	4	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H5652	001	0	1	37	05	H5652_001_0	4	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H5652	001	0	1	37	05	H5652_001_0	4	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H5652	002	0	1	37	05	H5652_002_0	2	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H5652	002	0	1	37	05	H5652_002_0	2	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H5652	002	0	1	37	05	H5652_002_0	2	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H5652	003	0	1	37	05	H5652_003_0	4	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H5652	003	0	1	37	05	H5652_003_0	4	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H5652	003	0	1	37	05	H5652_003_0	4	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H5652	004	0	1	37	05	H5652_004_0	3	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H5652	004	0	1	37	05	H5652_004_0	3	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H5652	004	0	1	37	05	H5652_004_0	3	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H5678	001	0	1	37	05	H5678_001_0	4	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H5678	001	0	1	37	05	H5678_001_0	4	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H5678	001	0	1	37	05	H5678_001_0	4	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H5678	002	0	1	37	05	H5678_002_0	2	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H5678	002	0	1	37	05	H5678_002_0	2	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H5678	002	0	1	37	05	H5678_002_0	2	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H5678	003	0	1	37	05	H5678_003_0	4	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H5678	003	0	1	37	05	H5678_003_0	4	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H5678	003	0	1	37	05	H5678_003_0	4	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H5678	004	0	1	37	05	H5678_004_0	3	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H5678	004	0	1	37	05	H5678_004_0	3	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H5678	004	0	1	37	05	H5678_004_0	3	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H5697	001	0	1	37	05	H5697_001_0	5	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H5697	001	0	1	37	05	H5697_001_0	5	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H5697	001	0	1	37	05	H5697_001_0	5	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H5697	002	0	1	37	05	H5697_002_0	3	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H5697	002	0	1	37	05	H5697_002_0	3	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H5697	002	0	1	37	05	H5697_002_0	3	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H5697	003	0	1	37	05	H5697_003_0	3	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H5697	003	0	1	37	05	H5697_003_0	3	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H5697	003	0	1	37	05	H5697_003_0	3	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H5697	004	0	1	37	05	H5697_004_0	3	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H5697	004	0	1	37	05	H5697_004_0	3	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H5697	004	0	1	37	05	H5697_004_0	3	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H5698	111	0	1	02	01	H5698_111_0	6	1	0111111111111111111111011100000010111111100000	Other POS Benefits	1	20	20	1	2			2		2			
H5698	112	0	1	02	01	H5698_112_0	6	1	0111111111111111111111011100000010111111100000	Other POS Benefits	1	20	20	1	2			2		2			
H5698	113	0	1	02	01	H5698_113_0	5	1	0111111111111111111111011100000010111111100000	Other POS Benefits	1	20	20	1	2			2		2			
H5698	114	0	1	02	01	H5698_114_0	5	1	0111111111111111111111011100000010111111100000	Other POS Benefits	1	20	20	1	2			2		2			
H5700	025	0	1	02	01	H5700_025_0	21	1	0111011111111111111111011110000111111111100000		1	20	20	1	2			1	5000.00	2		3	1
H5746	012	0	1	02	01	H5746_012_0	7	1	0000010101010000000000000000000000000000000000	Specialist Physician Services	2				1	30.00	30.00	2		2			
H5746	012	0	1	02	01	H5746_012_0	7	2	0000000000000010100000000000000000000000000000	Diagnostic Imaging	2				1	75.00	75.00	2		2			
H5746	012	0	1	02	01	H5746_012_0	7	3	0000000000000000001000000000000000000000000000	Ambulatory Surgery	2				1	175.00	175.00	2		2			
H5749	001	0	1	02	01	H5749_001_0	3	4	0000000000000000000000000010000010000000000000	Group 4	2				2			2		2			
H5749	001	0	1	02	01	H5749_001_0	3	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H5749	001	0	1	02	01	H5749_001_0	3	1	0100111101101000000010000000000001000000001101	Group 1	2				1	10.00	35.00	2		2			
H5749	001	0	1	02	01	H5749_001_0	3	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H5749	001	0	1	02	01	H5749_001_0	3	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H5749	001	0	1	02	01	H5749_001_0	3	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H5749	001	0	1	02	01	H5749_001_0	3	6	0000000000000111000000000000000000000000000000	Group 6	1	30	30	6	1	7.00	7.00	2		2			
H5749	001	0	1	02	01	H5749_001_0	3	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H5749	801	0	1	02	01	H5749_801_0	2	1	0100011101000000000010000000000000000000001101	Group 1	2				1	35.00	35.00	2		2			
H5749	801	0	1	02	01	H5749_801_0	2	3	0001000000000011011000000000100000111111100000	Group 3	1	25	25	2	2			2		2			
H5749	801	0	1	02	01	H5749_801_0	2	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H5749	801	0	1	02	01	H5749_801_0	2	10	0000000000000000000000000010000010000000000000	Group 10	2				1	0.00	0.00	2		2			
H5749	801	0	1	02	01	H5749_801_0	2	9	0000000000000000000000011100000000000000000010	Group 9	1	30	30	2	2			2		2			
H5749	801	0	1	02	01	H5749_801_0	2	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H5749	801	0	1	02	01	H5749_801_0	2	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H5749	801	0	1	02	01	H5749_801_0	2	6	0000000000000100000000000000000000000000000000	Group 6	1	25	25	2	1	7.00	7.00	2		2			
H5749	801	0	1	02	01	H5749_801_0	2	4	0000100000100000000000000000000001000000000000	Group 4	2				1	25.00	25.00	2		2			
H5749	801	0	1	02	01	H5749_801_0	2	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H5749	802	0	1	02	01	H5749_802_0	2	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H5749	802	0	1	02	01	H5749_802_0	2	10	0000000000000000000000000010000010000000000000	Group 10	2				1	0.00	0.00	2		2			
H5749	802	0	1	02	01	H5749_802_0	2	1	0100011101000000000010000000000000000000001101	Group 1	2				1	35.00	35.00	2		2			
H5749	802	0	1	02	01	H5749_802_0	2	4	0000100000100000000000000000000001000000000000	Group 4	2				1	25.00	25.00	2		2			
H5749	802	0	1	02	01	H5749_802_0	2	9	0000000000000000000000011100000000000000000010	Group 9	1	30	30	2	2			2		2			
H5749	802	0	1	02	01	H5749_802_0	2	6	0000000000000100000000000000000000000000000000	Group 6	1	25	25	2	1	7.00	7.00	2		2			
H5749	802	0	1	02	01	H5749_802_0	2	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H5749	802	0	1	02	01	H5749_802_0	2	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H5749	802	0	1	02	01	H5749_802_0	2	3	0001000000000011011000000000100000111111100000	Group 3	1	25	25	2	2			2		2			
H5749	802	0	1	02	01	H5749_802_0	2	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H5749	803	0	1	02	01	H5749_803_0	2	3	0001000000000011011000000000100000111111100000	Group 3	1	25	25	2	2			2		2			
H5749	803	0	1	02	01	H5749_803_0	2	4	0000100000100000000000000000000001000000000000	Group 4	2				1	25.00	25.00	2		2			
H5749	803	0	1	02	01	H5749_803_0	2	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H5749	803	0	1	02	01	H5749_803_0	2	6	0000000000000100000000000000000000000000000000	Group 6	1	25	25	2	1	7.00	7.00	2		2			
H5749	803	0	1	02	01	H5749_803_0	2	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H5749	803	0	1	02	01	H5749_803_0	2	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H5749	803	0	1	02	01	H5749_803_0	2	10	0000000000000000000000000010000010000000000000	Group 10	2				1	0.00	0.00	2		2			
H5749	803	0	1	02	01	H5749_803_0	2	9	0000000000000000000000011100000000000000000010	Group 9	1	30	30	2	2			2		2			
H5749	803	0	1	02	01	H5749_803_0	2	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H5749	803	0	1	02	01	H5749_803_0	2	1	0100011101000000000010000000000000000000001101	Group 1	2				1	35.00	35.00	2		2			
H5749	804	0	1	02	01	H5749_804_0	2	10	0000000000000000000000000010000010000000000000	Group 10	2				1	0.00	0.00	2		2			
H5749	804	0	1	02	01	H5749_804_0	2	9	0000000000000000000000011100000000000000000010	Group 9	1	30	30	2	2			2		2			
H5749	804	0	1	02	01	H5749_804_0	2	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H5749	804	0	1	02	01	H5749_804_0	2	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H5749	804	0	1	02	01	H5749_804_0	2	6	0000000000000100000000000000000000000000000000	Group 6	1	25	25	2	1	7.00	7.00	2		2			
H5749	804	0	1	02	01	H5749_804_0	2	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H5749	804	0	1	02	01	H5749_804_0	2	4	0000100000100000000000000000000001000000000000	Group 4	2				1	25.00	25.00	2		2			
H5749	804	0	1	02	01	H5749_804_0	2	3	0001000000000011011000000000100000111111100000	Group 3	1	25	25	2	2			2		2			
H5749	804	0	1	02	01	H5749_804_0	2	1	0100011101000000000010000000000000000000001101	Group 1	2				1	35.00	35.00	2		2			
H5749	804	0	1	02	01	H5749_804_0	2	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H5754	001	0	1	37	05	H5754_001_0	4	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H5754	001	0	1	37	05	H5754_001_0	4	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H5754	001	0	1	37	05	H5754_001_0	4	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H5754	002	0	1	37	05	H5754_002_0	3	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H5754	002	0	1	37	05	H5754_002_0	3	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H5754	002	0	1	37	05	H5754_002_0	3	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H5754	003	0	1	37	05	H5754_003_0	6	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H5754	003	0	1	37	05	H5754_003_0	6	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H5754	003	0	1	37	05	H5754_003_0	6	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H5754	004	0	1	37	05	H5754_004_0	3	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H5754	004	0	1	37	05	H5754_004_0	3	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H5754	004	0	1	37	05	H5754_004_0	3	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H5760	001	0	1	02	01	H5760_001_0	1	1	0111111111111110011110011110000111111111000000		1	20	20	3	2			2		2			
H5760	003	0	1	02	01	H5760_003_0	11	1	0111111111111111111110011111000111111111111111		1	20	20	2	2			2		2			
H5760	004	0	1	02	01	H5760_004_0	8	1	0111111111111110011110111111100111111111000000		1	20	20	3	2			2		2			
H5760	007	0	1	02	01	H5760_007_0	6	1	0111111111111111111111111111111111111111111111		1	20	20	2	2			2		2			
H5760	803	0	1	02	01	H5760_803_0	6	1	0111111111111110011110011110000111111111000000		1	20	20	3	2			2		2			
H5817	016	0	1	02	01	H5817_016_0	3	1	0000010101010000000000000000000000000000000000	Specialist Physician Services	2				1	40.00	40.00	2		2			
H5817	016	0	1	02	01	H5817_016_0	3	2	0000000000000010100000000000000000000000000000	Diagnostic Imaging	2				1	100.00	100.00	2		2			
H5817	016	0	1	02	01	H5817_016_0	3	3	0000000000000000001000000000000000000000000000	Ambulatory Surgery	2				1	175.00	175.00	2		2			
H5817	017	0	1	02	01	H5817_017_0	3	1	0000010101010000000000000000000000000000000000	Specialist Physician Services	2				1	35.00	35.00	2		2			
H5817	017	0	1	02	01	H5817_017_0	3	2	0000000000000010100000000000000000000000000000	Diagnostic Imaging	2				1	125.00	125.00	2		2			
H5817	017	0	1	02	01	H5817_017_0	3	3	0000000000000000001000000000000000000000000000	Ambulatory Surgery	2				1	125.00	125.00	2		2			
H5896	012	0	1	02	01	H5896_012_0	3	1	0000010101010000000000000000000000000000000000	Specialist Physician Services	2				1	45.00	45.00	2		2			
H5896	012	0	1	02	01	H5896_012_0	3	2	0000000000000010100000000000000000000000000000	Diagnostic Imaging	2				1	150.00	150.00	2		2			
H5896	012	0	1	02	01	H5896_012_0	3	3	0000000000000000001000000000000000000000000000	Ambulatory Surgery	2				1	150.00	150.00	2		2			
H5918	001	0	1	37	05	H5918_001_0	5	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H5918	001	0	1	37	05	H5918_001_0	5	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H5918	001	0	1	37	05	H5918_001_0	5	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H5918	002	0	1	37	05	H5918_002_0	3	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H5918	002	0	1	37	05	H5918_002_0	3	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H5918	002	0	1	37	05	H5918_002_0	3	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H5918	003	0	1	37	05	H5918_003_0	4	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H5918	003	0	1	37	05	H5918_003_0	4	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H5918	003	0	1	37	05	H5918_003_0	4	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H5918	004	0	1	37	05	H5918_004_0	3	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H5918	004	0	1	37	05	H5918_004_0	3	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H5918	004	0	1	37	05	H5918_004_0	3	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H6145	001	0	1	04	01	H6145_001_0	6	2	0001000000000000000000000000000000000000000000	Home Health	2				2			2		2			
H6145	001	0	1	04	01	H6145_001_0	6	3	0000000010010000000000000000000000000000000000	Mental Health/Psychiatric Services	1	50	50	2	2			2		2			
H6145	001	0	1	04	01	H6145_001_0	6	1	0110111101101111111111111110000011111111101111	Out of Network Professional Services	1	20	20	2	2			2		2			
H6181	013	0	1	02	01	H6181_013_0	3	3	0000000000000000001000000000000000000000000000	Ambulatory Surgery	2				1	100.00	100.00	2		2			
H6181	013	0	1	02	01	H6181_013_0	3	1	0000010101010000000000000000000000000000000000	Specialist Physician Services	2				1	40.00	40.00	2		2			
H6181	013	0	1	02	01	H6181_013_0	3	2	0000000000000010100000000000000000000000000000	Diagnostic Imaging	2				1	125.00	125.00	2		2			
H6228	001	0	1	37	05	H6228_001_0	4	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H6228	001	0	1	37	05	H6228_001_0	4	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H6228	001	0	1	37	05	H6228_001_0	4	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H6228	002	0	1	37	05	H6228_002_0	2	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H6228	002	0	1	37	05	H6228_002_0	2	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H6228	002	0	1	37	05	H6228_002_0	2	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H6228	003	0	1	37	05	H6228_003_0	3	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H6228	003	0	1	37	05	H6228_003_0	3	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H6228	003	0	1	37	05	H6228_003_0	3	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H6793	001	0	1	37	05	H6793_001_0	4	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H6793	001	0	1	37	05	H6793_001_0	4	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H6793	001	0	1	37	05	H6793_001_0	4	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H6793	002	0	1	37	05	H6793_002_0	2	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H6793	002	0	1	37	05	H6793_002_0	2	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H6793	002	0	1	37	05	H6793_002_0	2	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H6793	003	0	1	37	05	H6793_003_0	3	3	1000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H6793	003	0	1	37	05	H6793_003_0	3	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	20.00	2		2			
H6793	003	0	1	37	05	H6793_003_0	3	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H6864	001	0	1	02	01	H6864_001_0	5	2	0100001101101000000010000000000000000000001000	$10 Cost Sharing Group	2				1	0.00	10.00	2		2			
H6864	001	0	1	02	01	H6864_001_0	5	1	1001110000000111111001011110000111111111100111	Zero Cost Sharing Group	2				2			2		2			
H6864	001	0	1	02	01	H6864_001_0	5	3	0010000010010000000100000000000000000000000000	$20 Cost Sharing Group	2				1	0.00	20.00	2		2			
H7179	009	0	1	02	01	H7179_009_0	9	1	0111011111111111111111011110000111111111100000		1	20	20	1	2			1	5000.00	2		3	1
H7187	001	0	1	02	01	H7187_001_0	4	4	0000000000000000000000000000000000000000001000	Group 4	1	0	30	6	2			2		2			
H7187	001	0	1	02	01	H7187_001_0	4	3	1000000000000000000000000000000000000000010010	Group 3	2				2			2		2			
H7187	001	0	1	02	01	H7187_001_0	4	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	10.00	2		2			
H7187	001	0	1	02	01	H7187_001_0	4	1	0111011111111111111111011110100111111111100101	Group 1	1	30	30	6	2			2		2			
H7187	002	0	1	02	01	H7187_002_0	3	2	0000100000000000000000000000000000000000000000	Group 2	1	20	30	6	2			2		2			
H7187	002	0	1	02	01	H7187_002_0	3	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H7187	002	0	1	02	01	H7187_002_0	3	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H7187	003	0	1	02	01	H7187_003_0	10	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H7187	003	0	1	02	01	H7187_003_0	10	8	0000000000000000000000000010000010000000000000	Group 8	2				2			2		2			
H7187	003	0	1	02	01	H7187_003_0	10	1	0100111101101000000010000000000001000000001101	Group 1	2				1	10.00	30.00	2		2			
H7187	003	0	1	02	01	H7187_003_0	10	4	0000000010010000000100000000000000000000000000	Group 4	2				1	35.00	45.00	2		2			
H7187	003	0	1	02	01	H7187_003_0	10	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	2	2			2		2			
H7187	003	0	1	02	01	H7187_003_0	10	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H7187	003	0	1	02	01	H7187_003_0	10	6	0000000000000000100000000000000000000000000000	Group 6	2				1	20.00	20.00	2		2			
H7187	003	0	1	02	01	H7187_003_0	10	5	0000000000000111000000000000000000000000000000	Group 5	1	30	30	6	1	7.00	7.00	2		2			
H7187	005	0	1	02	01	H7187_005_0	3	1	0111011111111111111111011110100111111111101101	Group 1	1	30	30	6	2			2		2			
H7187	005	0	1	02	01	H7187_005_0	3	2	0000100000000000000000000000000000000000000000	Group 2	1	20	30	6	2			2		2			
H7187	005	0	1	02	01	H7187_005_0	3	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H7187	006	0	1	02	01	H7187_006_0	3	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H7187	006	0	1	02	01	H7187_006_0	3	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	25.00	2		2			
H7187	006	0	1	02	01	H7187_006_0	3	1	0111011111111111111111111110100111111111100101	Group 1	1	30	30	6	2			2		2			
H7187	007	0	1	02	01	H7187_007_0	4	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	35.00	2		2			
H7187	007	0	1	02	01	H7187_007_0	4	1	0111011111111111111111111110100111111111101101	Group 1	1	30	30	6	2			2		2			
H7187	007	0	1	02	01	H7187_007_0	4	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H7187	008	0	1	02	01	H7187_008_0	3	3	0000000000000000000000000000000000000000000010	Group 3	2				2			2		2			
H7187	008	0	1	02	01	H7187_008_0	3	2	0000100000000000000000000000000000000000000000	Group 2	1	0	30	6	1	0.00	25.00	2		2			
H7187	008	0	1	02	01	H7187_008_0	3	1	0111011111111111111111111110100111111111100101	Group 1	1	30	30	6	2			2		2			
H7187	009	0	1	02	01	H7187_009_0	5	3	0001000000000011011000011100100000111111100010	Group 3	1	30	30	2	2			2		2			
H7187	009	0	1	02	01	H7187_009_0	5	4	0000100000100000000000000000000001000000000000	Group 4	2				1	10.00	10.00	2		2			
H7187	009	0	1	02	01	H7187_009_0	5	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H7187	009	0	1	02	01	H7187_009_0	5	6	0000000000000100000000000000000000000000000000	Group 6	1	0	30	2	1	0.00	7.00	2		2			
H7187	009	0	1	02	01	H7187_009_0	5	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H7187	009	0	1	02	01	H7187_009_0	5	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H7187	009	0	1	02	01	H7187_009_0	5	9	0000000000000000000000000010000010000000000000	Group 9	2				2			2		2			
H7187	009	0	1	02	01	H7187_009_0	5	1	0100011101001000000010000000000000000000001101	Group 1	2				1	30.00	30.00	2		2			
H7187	009	0	1	02	01	H7187_009_0	5	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H7187	801	0	1	02	01	H7187_801_0	2	3	0001000000000011011000011100100000111111100010	Group 3	1	30	30	2	2			2		2			
H7187	801	0	1	02	01	H7187_801_0	2	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H7187	801	0	1	02	01	H7187_801_0	2	9	0000000000000000000000000010000010000000000000	Group 9	2				2			2		2			
H7187	801	0	1	02	01	H7187_801_0	2	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H7187	801	0	1	02	01	H7187_801_0	2	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H7187	801	0	1	02	01	H7187_801_0	2	6	0000000000000100000000000000000000000000000000	Group 6	1	30	30	2	1	7.00	7.00	2		2			
H7187	801	0	1	02	01	H7187_801_0	2	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H7187	801	0	1	02	01	H7187_801_0	2	4	0000100000100000000000000000000001000000000000	Group 4	2				1	25.00	25.00	2		2			
H7187	801	0	1	02	01	H7187_801_0	2	1	0100011101001000000010000000000000000000001101	Group 1	2				1	30.00	30.00	2		2			
H7187	803	0	1	02	01	H7187_803_0	2	1	0100011101001000000010000000000000000000001101	Group 1	2				1	30.00	30.00	2		2			
H7187	803	0	1	02	01	H7187_803_0	2	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H7187	803	0	1	02	01	H7187_803_0	2	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H7187	803	0	1	02	01	H7187_803_0	2	6	0000000000000100000000000000000000000000000000	Group 6	1	30	30	2	1	7.00	7.00	2		2			
H7187	803	0	1	02	01	H7187_803_0	2	9	0000000000000000000000000010000010000000000000	Group 9	2				2			2		2			
H7187	803	0	1	02	01	H7187_803_0	2	4	0000100000100000000000000000000001000000000000	Group 4	2				1	25.00	25.00	2		2			
H7187	803	0	1	02	01	H7187_803_0	2	3	0001000000000011011000011100100000111111100010	Group 3	1	30	30	2	2			2		2			
H7187	803	0	1	02	01	H7187_803_0	2	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H7187	803	0	1	02	01	H7187_803_0	2	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H7187	804	0	1	02	01	H7187_804_0	2	3	0001000000000011011000011100100000111111100010	Group 3	1	30	30	2	2			2		2			
H7187	804	0	1	02	01	H7187_804_0	2	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H7187	804	0	1	02	01	H7187_804_0	2	1	0100011101001000000010000000000000000000001101	Group 1	2				1	30.00	30.00	2		2			
H7187	804	0	1	02	01	H7187_804_0	2	4	0000100000100000000000000000000001000000000000	Group 4	2				1	25.00	25.00	2		2			
H7187	804	0	1	02	01	H7187_804_0	2	9	0000000000000000000000000010000010000000000000	Group 9	2				2			2		2			
H7187	804	0	1	02	01	H7187_804_0	2	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H7187	804	0	1	02	01	H7187_804_0	2	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H7187	804	0	1	02	01	H7187_804_0	2	6	0000000000000100000000000000000000000000000000	Group 6	1	30	30	2	1	7.00	7.00	2		2			
H7187	804	0	1	02	01	H7187_804_0	2	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H7187	805	0	1	02	01	H7187_805_0	2	1	0100011101001000000010000000000000000000001101	Group 1	2				1	30.00	30.00	2		2			
H7187	805	0	1	02	01	H7187_805_0	2	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H7187	805	0	1	02	01	H7187_805_0	2	9	0000000000000000000000000010000010000000000000	Group 9	2				2			2		2			
H7187	805	0	1	02	01	H7187_805_0	2	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H7187	805	0	1	02	01	H7187_805_0	2	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H7187	805	0	1	02	01	H7187_805_0	2	6	0000000000000100000000000000000000000000000000	Group 6	1	30	30	2	1	7.00	7.00	2		2			
H7187	805	0	1	02	01	H7187_805_0	2	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H7187	805	0	1	02	01	H7187_805_0	2	4	0000100000100000000000000000000001000000000000	Group 4	2				1	25.00	25.00	2		2			
H7187	805	0	1	02	01	H7187_805_0	2	3	0001000000000011011000011100100000111111100010	Group 3	1	30	30	2	2			2		2			
H7200	011	0	1	02	01	H7200_011_0	4	2	0000000000000010100000000000000000000000000000	Diagnostic Imaging	2				1	100.00	100.00	2		2			
H7200	011	0	1	02	01	H7200_011_0	4	3	0000000000000000001000000000000000000000000000	Ambulatory Surgery	2				1	225.00	225.00	2		2			
H7200	011	0	1	02	01	H7200_011_0	4	1	0000010101010000000000000000000000000000000000	Specialist Physician Services	2				1	45.00	45.00	2		2			
H7220	004	0	1	02	01	H7220_004_0	11	1	0111111111111111111111011110000101000001100000	Group 1	1	20	20	1	2			2		2			
H7568	001	0	1	04	01	H7568_001_0	6	1	0110111101101111111111111010000011111111101111	Out of Network Professional Services	1	20	20	2	2			2		2			
H7568	001	0	1	04	01	H7568_001_0	6	2	0001000000000000000000000000000000000000000000	Home Health	2				2			2		2			
H7568	001	0	1	04	01	H7568_001_0	6	3	0000000010010000000000000000000000000000000000	Mental Health/Psychiatric Services	1	50	50	2	2			2		2			
H7568	001	0	1	04	01	H7568_001_0	6	4	0000000000000000000000000100000000000000000000	Diabetes Monitoring Supplies	2				2			2		2			
H8649	001	0	1	02	01	H8649_001_0	4	1	0101101101101111111010011110000011111111101111		1	20	20	2	2			2		2			
H8649	001	0	1	02	01	H8649_001_0	4	3	0000000000000000000000000000000000000000011000	Dental	1	0	50	2	2			1	1000.00	1	50.00	3	2
H8649	001	0	1	02	01	H8649_001_0	4	4	0000000000000000000000000000000000000000000010	Eye Wear	2				2			1	100.00	2		3	2
H8649	001	0	1	02	01	H8649_001_0	4	2	0000000000000000000001000000000000000000000000	Ambulance	2				1	50.00	50.00	2		2			
H8649	002	0	1	02	01	H8649_002_0	4	1	0101101101101111111010011110000011111111101111		1	30	30	2	2			2		2			
H8649	002	0	1	02	01	H8649_002_0	4	2	0000000000000000000001000000000000000000000000	Ambulance	2				1	100.00	100.00	2		2			
H8649	002	0	1	02	01	H8649_002_0	4	3	0000000000000000000000000000000000000000011000	Dental	1	0	50	2	2			1	1000.00	1	50.00	3	2
H8649	002	0	1	02	01	H8649_002_0	4	4	0000000000000000000000000000000000000000000010	Eye Wear	2				2			1	100.00	2		3	6
H8649	003	0	1	02	01	H8649_003_0	4	4	0000000000000000000000000000000000000000000010	Non-Medicare Covered/Routine Eye Wear	2				2			1	100.00	2		3	6
H8649	003	0	1	02	01	H8649_003_0	4	3	0000000000000000000000000000000000000000011000	Dental	1	0	50	2	2			1	1000.00	1	50.00	3	2
H8649	003	0	1	02	01	H8649_003_0	4	1	0101101101101111111010011110000011111111100101		1	30	30	2	2			2		2			
H8649	003	0	1	02	01	H8649_003_0	4	2	0000000000000000000001000000000000000000000000	Ambulance	2				1	150.00	150.00	2		2			
H8649	004	0	1	02	01	H8649_004_0	5	2	0000000000000000000001000000000000000000000000	Ambulance	2				1	50.00	50.00	2		2			
H8649	004	0	1	02	01	H8649_004_0	5	3	0000000000000000000000000000000000000000011000	Dental	1	0	50	2	2			1	1000.00	1	50.00	3	2
H8649	004	0	1	02	01	H8649_004_0	5	4	0000000000000000000000000000000000000000000010	Eye Wear	2				2			1	100.00	2		3	2
H8649	004	0	1	02	01	H8649_004_0	5	1	0101101101101111111010011110000011111111101111		1	20	20	2	2			2		2			
H8649	005	0	1	02	01	H8649_005_0	4	1	0101101101101111111010011110000011111111101111		1	30	30	2	2			2		2			
H8649	005	0	1	02	01	H8649_005_0	4	2	0000000000000000000001000000000000000000000000	Ambulance	2				1	100.00	100.00	2		2			
H8649	005	0	1	02	01	H8649_005_0	4	4	0000000000000000000000000000000000000000000010	Eye Wear	2				2			1	100.00	2		3	6
H8649	005	0	1	02	01	H8649_005_0	4	3	0000000000000000000000000000000000000000011000	Dental	1	0	50	2	2			1	1000.00	1	50.00	3	2
H8649	006	0	1	02	01	H8649_006_0	4	3	0000000000000000000000000000000000000000011000	Dental	1	0	50	2	2			1	1000.00	1	50.00	3	2
H8649	006	0	1	02	01	H8649_006_0	4	4	0000000000000000000000000000000000000000000010	Non-Medicare Covered/Routine Eye Wear	2				2			1	100.00	2		3	6
H8649	006	0	1	02	01	H8649_006_0	4	2	0000000000000000000001000000000000000000000000	Ambulance	2				1	150.00	150.00	2		2			
H8649	006	0	1	02	01	H8649_006_0	4	1	0101101101101111111010011110000011111111100101		1	30	30	2	2			2		2			
H8649	801	0	1	02	01	H8649_801_0	1	4	0000000000000000000000000000000010000000000000	Flu and Pheumonia Vaccines	2				2			2		2			
H8649	801	0	1	02	01	H8649_801_0	1	5	0000000000000000000000000000000000100000000000	Pap Smear	2				2			2		2			
H8649	801	0	1	02	01	H8649_801_0	1	6	0000000000000000000000000000000000010000000000	PSA Test	2				2			2		2			
H8649	801	0	1	02	01	H8649_801_0	1	2	0001000000000000000000000000000000000000000000	Home Health Services	2				2			2		2			
H8649	801	0	1	02	01	H8649_801_0	1	1	0100101101101011111011001110000001001111101111		1	20	20	2	2			2		2			
H8649	801	0	1	02	01	H8649_801_0	1	3	0000000000000100000000000000000000000000000000	Lab Services	2				2			2		2			
H8649	802	0	1	02	01	H8649_802_0	1	1	0100101101101011111011001110000001001111101111		1	20	20	2	2			2		2			
H8649	802	0	1	02	01	H8649_802_0	1	2	0001000000000000000000000000000000000000000000	Home Health Services	2				2			2		2			
H8649	802	0	1	02	01	H8649_802_0	1	6	0000000000000000000000000000000000010000000000	PSA Test	2				2			2		2			
H8649	802	0	1	02	01	H8649_802_0	1	5	0000000000000000000000000000000000100000000000	Pap Smear	2				2			2		2			
H8649	802	0	1	02	01	H8649_802_0	1	4	0000000000000000000000000000000010000000000000	Flu and Pheumonia Vaccines	2				2			2		2			
H8649	802	0	1	02	01	H8649_802_0	1	3	0000000000000100000000000000000000000000000000	Lab Services	2				2			2		2			
H8649	803	0	1	02	01	H8649_803_0	1	5	0000000000000000000000000000000000100000000000	Pap Smear	2				2			2		2			
H8649	803	0	1	02	01	H8649_803_0	1	4	0000000000000000000000000000000010000000000000	Flu and Pheumonia Vaccines	2				2			2		2			
H8649	803	0	1	02	01	H8649_803_0	1	3	0000000000000100000000000000000000000000000000	Lab Services	2				2			2		2			
H8649	803	0	1	02	01	H8649_803_0	1	6	0000000000000000000000000000000000010000000000	PSA Test	2				2			2		2			
H8649	803	0	1	02	01	H8649_803_0	1	2	0001000000000000000000000000000000000000000000	Home Health Services	2				2			2		2			
H8649	803	0	1	02	01	H8649_803_0	1	1	0100101101101011111011001110000001001111101111		1	20	20	2	2			2		2			
H8748	001	0	1	02	01	H8748_001_0	6	4	0000100000100000100000000000000001000000000000	Group 4	2				1	20.00	20.00	2		2			
H8748	001	0	1	02	01	H8748_001_0	6	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H8748	001	0	1	02	01	H8748_001_0	6	6	0000000000000100000000000000000000000000000000	Group 6	1	0	30	6	1	0.00	7.00	2		2			
H8748	001	0	1	02	01	H8748_001_0	6	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H8748	001	0	1	02	01	H8748_001_0	6	8	0000000000000000000000000010000010000000000000	Group 8	2				2			2		2			
H8748	001	0	1	02	01	H8748_001_0	6	1	0100011101001000000010000000000000000000001101	Group 1	2				1	35.00	35.00	2		2			
H8748	001	0	1	02	01	H8748_001_0	6	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H8748	001	0	1	02	01	H8748_001_0	6	3	0001000000000011011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H8748	002	0	1	02	01	H8748_002_0	4	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H8748	002	0	1	02	01	H8748_002_0	4	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H8748	002	0	1	02	01	H8748_002_0	4	4	0000000000000000000000000010000010000000000000	Group 4	2				2			2		2			
H8748	002	0	1	02	01	H8748_002_0	4	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H8748	002	0	1	02	01	H8748_002_0	4	1	0100111101101000000010000000000001000000001101	Group 1	2				1	10.00	30.00	2		2			
H8748	002	0	1	02	01	H8748_002_0	4	6	0000000000000111000000000000000000000000000000	Group 6	1	30	30	6	1	7.00	7.00	2		2			
H8748	002	0	1	02	01	H8748_002_0	4	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H8748	002	0	1	02	01	H8748_002_0	4	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H8748	003	0	1	02	01	H8748_003_0	5	4	0000000000100000000000000000000001000000000000	Group 4	2				1	10.00	10.00	2		2			
H8748	003	0	1	02	01	H8748_003_0	5	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H8748	003	0	1	02	01	H8748_003_0	5	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H8748	003	0	1	02	01	H8748_003_0	5	1	0100111101101000000010000000000001000000001101	Group 1	2				1	10.00	30.00	2		2			
H8748	003	0	1	02	01	H8748_003_0	5	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H8748	003	0	1	02	01	H8748_003_0	5	9	0000000000000000000000000010000010000000000000	Group 9	2				2			2		2			
H8748	003	0	1	02	01	H8748_003_0	5	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H8748	003	0	1	02	01	H8748_003_0	5	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H8748	003	0	1	02	01	H8748_003_0	5	6	0000000000000111000000000000000000000000000000	Group 6	1	30	30	6	1	7.00	7.00	2		2			
H8748	004	0	1	02	01	H8748_004_0	5	1	0100111101101000000010000000000001000000001101	Group 1	2				1	20.00	35.00	2		2			
H8748	004	0	1	02	01	H8748_004_0	5	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H8748	004	0	1	02	01	H8748_004_0	5	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H8748	004	0	1	02	01	H8748_004_0	5	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H8748	004	0	1	02	01	H8748_004_0	5	6	0000000000000111000000000000000000000000000000	Group 6	1	30	30	6	1	7.00	7.00	2		2			
H8748	004	0	1	02	01	H8748_004_0	5	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H8748	004	0	1	02	01	H8748_004_0	5	4	0000000000000000100000000000000000000000000000	Group 4	2				1	20.00	20.00	2		2			
H8748	004	0	1	02	01	H8748_004_0	5	8	0000000000000000000000000010000010000000000000	Group 8	2				2			2		2			
H8748	801	0	1	02	01	H8748_801_0	2	4	0000000010010000000100000000000000000000000000	Group 4	2				1	35.00	45.00	2		2			
H8748	801	0	1	02	01	H8748_801_0	2	5	0000000000000100000000000000000000000000000000	Group 5	1	30	30	2	1	7.00	7.00	2		2			
H8748	801	0	1	02	01	H8748_801_0	2	6	0000000000000000100000000000000000000000000000	Group 6	2				1	20.00	20.00	2		2			
H8748	801	0	1	02	01	H8748_801_0	2	3	0001000000000011011000011100100000111111100010	Group 3	1	30	30	2	2			2		2			
H8748	801	0	1	02	01	H8748_801_0	2	8	0000000000000000000000000010000010000000000000	Group 8	2				1	0.00	0.00	2		2			
H8748	801	0	1	02	01	H8748_801_0	2	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H8748	801	0	1	02	01	H8748_801_0	2	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H8748	801	0	1	02	01	H8748_801_0	2	1	0100111101101000000010000000000001000000001101	Group 1	2				1	40.00	40.00	2		2			
H8748	802	0	1	02	01	H8748_802_0	2	5	0000000000000100000000000000000000000000000000	Group 5	1	30	30	2	1	7.00	7.00	2		2			
H8748	802	0	1	02	01	H8748_802_0	2	4	0000000010010000000100000000000000000000000000	Group 4	2				1	35.00	45.00	2		2			
H8748	802	0	1	02	01	H8748_802_0	2	3	0001000000000011011000011100100000111111100010	Group 3	1	30	30	2	2			2		2			
H8748	802	0	1	02	01	H8748_802_0	2	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H8748	802	0	1	02	01	H8748_802_0	2	1	0100111101101000000010000000000001000000001101	Group 1	2				1	40.00	40.00	2		2			
H8748	802	0	1	02	01	H8748_802_0	2	6	0000000000000000100000000000000000000000000000	Group 6	2				1	20.00	20.00	2		2			
H8748	802	0	1	02	01	H8748_802_0	2	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H8748	802	0	1	02	01	H8748_802_0	2	8	0000000000000000000000000010000010000000000000	Group 8	2				1	0.00	0.00	2		2			
H8748	803	0	1	02	01	H8748_803_0	2	8	0000000000000000000000000010000010000000000000	Group 8	2				1	0.00	0.00	2		2			
H8748	803	0	1	02	01	H8748_803_0	2	3	0001000000000011011000011100100000111111100010	Group 3	1	30	30	2	2			2		2			
H8748	803	0	1	02	01	H8748_803_0	2	6	0000000000000000100000000000000000000000000000	Group 6	2				1	20.00	20.00	2		2			
H8748	803	0	1	02	01	H8748_803_0	2	5	0000000000000100000000000000000000000000000000	Group 5	1	30	30	2	1	7.00	7.00	2		2			
H8748	803	0	1	02	01	H8748_803_0	2	4	0000000010010000000100000000000000000000000000	Group 4	2				1	35.00	45.00	2		2			
H8748	803	0	1	02	01	H8748_803_0	2	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H8748	803	0	1	02	01	H8748_803_0	2	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H8748	803	0	1	02	01	H8748_803_0	2	1	0100111101101000000010000000000001000000001101	Group 1	2				1	40.00	40.00	2		2			
H8748	804	0	1	02	01	H8748_804_0	2	5	0000000000000100000000000000000000000000000000	Group 5	1	30	30	2	1	7.00	7.00	2		2			
H8748	804	0	1	02	01	H8748_804_0	2	4	0000000010010000000100000000000000000000000000	Group 4	2				1	35.00	45.00	2		2			
H8748	804	0	1	02	01	H8748_804_0	2	3	0001000000000011011000011100100000111111100010	Group 3	1	30	30	2	2			2		2			
H8748	804	0	1	02	01	H8748_804_0	2	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H8748	804	0	1	02	01	H8748_804_0	2	1	0100111101101000000010000000000001000000001101	Group 1	2				1	40.00	40.00	2		2			
H8748	804	0	1	02	01	H8748_804_0	2	6	0000000000000000100000000000000000000000000000	Group 6	2				1	20.00	20.00	2		2			
H8748	804	0	1	02	01	H8748_804_0	2	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H8748	804	0	1	02	01	H8748_804_0	2	8	0000000000000000000000000010000010000000000000	Group 8	2				1	0.00	0.00	2		2			
H9011	016	0	1	02	01	H9011_016_0	4	1	0100111101101000000010000000000001000000001101	Group 1	2				1	40.00	40.00	2		2			
H9011	016	0	1	02	01	H9011_016_0	4	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H9011	016	0	1	02	01	H9011_016_0	4	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H9011	016	0	1	02	01	H9011_016_0	4	4	0000000010010000000100000000000000000000000000	Group 4	2				1	35.00	45.00	2		2			
H9011	016	0	1	02	01	H9011_016_0	4	5	0000000000000111000000000000000000000000000000	Group 5	1	30	30	6	1	7.00	7.00	2		2			
H9011	016	0	1	02	01	H9011_016_0	4	6	0000000000000000100000000000000000000000000000	Group 6	2				1	20.00	20.00	2		2			
H9011	016	0	1	02	01	H9011_016_0	4	8	0000000000000000000000000010000010000000000000	Group 8	2				1	0.00	0.00	2		2			
H9011	016	0	1	02	01	H9011_016_0	4	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H9047	024	0	1	02	01	H9047_024_0	7	1	0111111111111110011111011110000111111111101111	Point of Service	1	20	20	1	2			2		2			
H9047	035	0	1	02	01	H9047_035_0	6	1	0111111111111110011111011110000111111111101111	Point of Service	1	20	20	1	2			2		2			
H9047	805	0	1	02	01	H9047_805_0	5	1	0111111111111110011111011110000111111111101111	Point of Service	1	20	20	1	2			2		2			
H9047	806	0	1	02	01	H9047_806_0	4	1	0111111111111110011111011110000111111111101111	Point of Service	1	20	20	1	2			2		2			
H9149	002	0	1	02	01	H9149_002_0	4	8	0000000000000000000000000010000010000000000000	Group 8	2				1	0.00	0.00	2		2			
H9149	002	0	1	02	01	H9149_002_0	4	1	0100111101101000000010000000000001000000001101	Group 1	2				1	15.00	35.00	2		2			
H9149	002	0	1	02	01	H9149_002_0	4	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H9149	002	0	1	02	01	H9149_002_0	4	3	0001000000000000011000011100100000111111100010	Group 3	1	30	30	6	2			2		2			
H9149	002	0	1	02	01	H9149_002_0	4	4	0000000000000000100000000000000000000000000000	Group 4	2				1	20.00	20.00	2		2			
H9149	002	0	1	02	01	H9149_002_0	4	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H9149	002	0	1	02	01	H9149_002_0	4	6	0000000000000111000000000000000000000000000000	Group 6	1	30	30	6	1	7.00	7.00	2		2			
H9149	002	0	1	02	01	H9149_002_0	4	7	0000000000000000000001000000000000000000000000	Group 7	2				1	150.00	150.00	2		2			
H9149	801	0	1	02	01	H9149_801_0	1	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H9149	801	0	1	02	01	H9149_801_0	1	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H9149	801	0	1	02	01	H9149_801_0	1	9	0000000000000000000000000010000010000000000000	Group 9	2				1	0	0	2		2			
H9149	801	0	1	02	01	H9149_801_0	1	1	0100011101001000000010000000000000000000001101	Group 1	2				1	40.00	40.00	2		2			
H9149	801	0	1	02	01	H9149_801_0	1	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H9149	801	0	1	02	01	H9149_801_0	1	3	0001000000000011011000011100100000111111100010	Group 3	1	30	30	2	2			2		2			
H9149	801	0	1	02	01	H9149_801_0	1	4	0000100000100000000000000000000001000000000000	Group 4	2				1	25.00	25.00	2		2			
H9149	801	0	1	02	01	H9149_801_0	1	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H9149	801	0	1	02	01	H9149_801_0	1	6	0000000000000100000000000000000000000000000000	Group 6	1	30	30	2	1	7.00	7.00	2		2			
H9149	802	0	1	02	01	H9149_802_0	1	1	0100011101001000000010000000000000000000001101	Group 1	2				1	40.00	40.00	2		2			
H9149	802	0	1	02	01	H9149_802_0	1	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H9149	802	0	1	02	01	H9149_802_0	1	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H9149	802	0	1	02	01	H9149_802_0	1	6	0000000000000100000000000000000000000000000000	Group 6	1	30	30	2	1	7.00	7.00	2		2			
H9149	802	0	1	02	01	H9149_802_0	1	9	0000000000000000000000000010000010000000000000	Group 9	2				1	0	0	2		2			
H9149	802	0	1	02	01	H9149_802_0	1	4	0000100000100000000000000000000001000000000000	Group 4	2				1	25.00	25.00	2		2			
H9149	802	0	1	02	01	H9149_802_0	1	3	0001000000000011011000011100100000111111100010	Group 3	1	30	30	2	2			2		2			
H9149	802	0	1	02	01	H9149_802_0	1	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H9149	802	0	1	02	01	H9149_802_0	1	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H9149	803	0	1	02	01	H9149_803_0	1	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H9149	803	0	1	02	01	H9149_803_0	1	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H9149	803	0	1	02	01	H9149_803_0	1	6	0000000000000100000000000000000000000000000000	Group 6	1	30	30	2	1	7.00	7.00	2		2			
H9149	803	0	1	02	01	H9149_803_0	1	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H9149	803	0	1	02	01	H9149_803_0	1	4	0000100000100000000000000000000001000000000000	Group 4	2				1	25.00	25.00	2		2			
H9149	803	0	1	02	01	H9149_803_0	1	3	0001000000000011011000011100100000111111100010	Group 3	1	30	30	2	2			2		2			
H9149	803	0	1	02	01	H9149_803_0	1	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H9149	803	0	1	02	01	H9149_803_0	1	1	0100011101001000000010000000000000000000001101	Group 1	2				1	40.00	40.00	2		2			
H9149	803	0	1	02	01	H9149_803_0	1	9	0000000000000000000000000010000010000000000000	Group 9	2				1	0	0	2		2			
H9149	804	0	1	02	01	H9149_804_0	1	1	0100011101001000000010000000000000000000001101	Group 1	2				1	40.00	40.00	2		2			
H9149	804	0	1	02	01	H9149_804_0	1	2	0010000000000000000000000000000000000000000000	Group 2	2				1	75.00	75.00	2		2			
H9149	804	0	1	02	01	H9149_804_0	1	9	0000000000000000000000000010000010000000000000	Group 9	2				1	0	0	2		2			
H9149	804	0	1	02	01	H9149_804_0	1	8	0000000000000000000001000000000000000000000000	Group 8	2				1	150.00	150.00	2		2			
H9149	804	0	1	02	01	H9149_804_0	1	7	0000000000000000100000000000000000000000000000	Group 7	2				1	20.00	20.00	2		2			
H9149	804	0	1	02	01	H9149_804_0	1	6	0000000000000100000000000000000000000000000000	Group 6	1	30	30	2	1	7.00	7.00	2		2			
H9149	804	0	1	02	01	H9149_804_0	1	5	0000000010010000000100000000000000000000000000	Group 5	2				1	35.00	45.00	2		2			
H9149	804	0	1	02	01	H9149_804_0	1	4	0000100000100000000000000000000001000000000000	Group 4	2				1	25.00	25.00	2		2			
H9149	804	0	1	02	01	H9149_804_0	1	3	0001000000000011011000011100100000111111100010	Group 3	1	30	30	2	2			2		2			
H9302	008	0	1	02	01	H9302_008_0	7	1	0000101111111000000110000000000000000000000000	$50 Copay	2				1	50.00	50.00	2		2			
H9302	008	0	1	02	01	H9302_008_0	7	2	0000000000000010000000000000000000000000000000	$100 Copay	2				1	0.00	100.00	2		2			
H9313	007	0	1	02	01	H9313_007_0	4	1	0111111111111111111111111111111111111111111101		1	20	20	2	2			2		2			
H9313	008	0	1	02	01	H9313_008_0	2	1	0111111111111111111111111111111111111111111101		1	20	20	2	2			2		2			
H9313	009	0	1	02	01	H9313_009_0	2	1	1111111111111111111111111111111111111111111111		1	20	20	2	2			2		2			
H9313	011	1	1	02	01	H9313_011_1	4	1	1111111111111111111111111111111111111111111111		1	20	20	2	2			2		2			
H9313	011	2	1	02	01	H9313_011_2	4	1	1111111111111111111111111111111111111111111111		1	20	20	2	2			2		2			
H9313	012	1	1	02	01	H9313_012_1	5	1	1111111111111111111111111111111111111111111111		1	20	20	2	2			2		2			
H9313	012	2	1	02	01	H9313_012_2	5	1	1111111111111111111111111111111111111111111111		1	20	20	2	2			2		2			
H9313	801	0	1	02	01	H9313_801_0	2	1	1110111111111111111111111111111111111111111111		1	20	20	2	2			2		2			
H9313	801	0	1	02	01	H9313_801_0	2	2	0001000000000000000000000000000000000000000000		2				2			2		2			
H9313	802	0	1	02	01	H9313_802_0	2	1	1110111111111111111111111111111111111111111111		1	20	20	2	2			2		2			
H9313	802	0	1	02	01	H9313_802_0	2	2	0001000000000000000000000000000000000000000000		2				2			2		2			
H9313	803	0	1	02	01	H9313_803_0	2	1	1110111111111111111111111111111111111111111111		1	20	20	2	2			2		2			
H9313	803	0	1	02	01	H9313_803_0	2	2	0001000000000000000000000000000000000000000000		2				2			2		2			
H9313	804	0	1	02	01	H9313_804_0	2	1	1110111111111111111111111111111111111111111111		1	20	20	2	2			2		2			
H9313	804	0	1	02	01	H9313_804_0	2	2	0001000000000000000000000000000000000000000000		2				2			2		2			
